Individual
LAURA KATHERINE BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MP
Contact information
Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-1212
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704307448
MI
Other
Enumeration date
02/13/2021
Last updated
08/23/2021
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