Individual
MRS. SHELLEY A VANDUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-1300
Mailing address
3085 CREEKVIEW LN, MUSKEGON, MI 49444-7722
(231) 773-8778
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704221190
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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