Individual
SARA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 235-1480
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704266235
MI
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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