Individual
ALEXANDRA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 68TH ST SE BLDG E, GRAND RAPIDS, MI 49548-6927
(616) 455-9200
Mailing address
300 68TH ST SE BLDG E, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704342871
MI
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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