Individual
BARBARA BAELE VINCENSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
382 N 120TH AVE, HOLLAND, MI 49424
(616) 396-6516
Mailing address
382 N 120TH AVE, HOLLAND, MI 49424
(616) 396-6516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704162869
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500011439
MEDICARE RAILROAD
MI
Enumeration date
10/02/2006
Last updated
06/03/2010
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