Individual
EDNA D ESTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
245 CHERRY ST SE, GRAND RAPIDS, MI 49503-4607
(616) 913-8200
(616) 774-0158
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 913-1808
(616) 913-1818
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704200451
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4474022
—
MI
Enumeration date
07/13/2006
Last updated
07/08/2007
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