Individual
MARLENE MARIE BERENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2481 N 72ND AVE, HART, MI 49420-8008
(231) 873-2163
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704145951
MI
Other
Enumeration date
06/15/2007
Last updated
08/03/2021
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