Individual
KATELYN VAN ALLSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
250 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-6824
Mailing address
161 OTTAWA AVE NW APT 621, GRAND RAPIDS, MI 49503-2766
(616) 340-0547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704285652
MI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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