Individual
MELISSA PILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2122 HEALTH DR SW, WYOMING, MI 49519
(616) 252-7494
(616) 252-7830
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, GRAND RAPIDS, MI 49504-5617
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704292168
MI
363LF0000X
Family Nurse Practitioner
4704292168
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D16078473
—
MI
Enumeration date
03/07/2018
Last updated
08/31/2020
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