Individual
MELISSA ANN DEBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, RN
Contact information
Practice address
1324 LAKE DR SE STE 4, GRAND RAPIDS, MI 49506-1673
(616) 293-3000
Mailing address
8201 TARTAN WAY NE, ROCKFORD, MI 49341-9563
(616) 293-3000
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704294771
MI
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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