Individual
KATIE M ALFREDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 672-3648
(231) 672-3838
Mailing address
216 TERRA CIR, MUSKEGON, MI 49445-2766
(231) 672-3648
(231) 672-3838
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704283005
MI
363LG0600X
Gerontology Nurse Practitioner
4704283005
MI
Other
Enumeration date
08/05/2015
Last updated
03/10/2022
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