Individual
MARIALISON NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
577 MICHIGAN AVE STE 201, HOLLAND, MI 49423-4911
(616) 392-1816
Mailing address
328 TIMBERLAKE DR W, HOLLAND, MI 49424-5315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704341590
MI
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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