Individual
KATHERINE M VANOTTEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
221 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49503-2533
(616) 267-8950
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704226442
MI
Other
Enumeration date
12/16/2008
Last updated
02/17/2021
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