Individual
EMILY ROSE VIDRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2680 LEONARD ST NE STE 3, GRAND RAPIDS, MI 49525-6902
(616) 317-7246
(616) 920-6540
Mailing address
7943 KIRKWOOD TRL SE, ALTO, MI 49302-8974
(616) 307-1911
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704319248
MI
Other
Enumeration date
10/31/2022
Last updated
04/25/2025
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