Individual
AGNES MUHIMPUNDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3950 SPARKS DR SE STE 103, GRAND RAPIDS, MI 49546-6159
(616) 726-1318
Mailing address
3950 SPARKS DR SE STE 103, GRAND RAPIDS, MI 49546-6159
(616) 726-1318
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704355135
MI
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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