Individual
ASHLIE WILBON GYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
80 68TH ST SE, GRAND RAPIDS, MI 49548-6980
(877) 362-8362
Mailing address
80 68TH ST SE, GRAND RAPIDS, MI 49548-6980
(877) 362-8362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704328104
MI
363LF0000X
Family Nurse Practitioner
R176093
MD
363LF0000X
Family Nurse Practitioner
RN1030641
DC
Other
Enumeration date
10/09/2015
Last updated
04/08/2020
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