Individual
BETTY JEAN GROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-6417
(269) 341-8743
Mailing address
451 HEALTH PKWY, PAW PAW, MI 49079-8242
(269) 655-1725
(269) 655-0586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
128747
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235131137
BCBSM - BLH
MI
01
—
1235412701
WELLMARK BLUE CROSS BLUE SHIELD
IA
05
—
1235412701
—
IA
05
—
1235412701
—
MI
Enumeration date
09/21/2011
Last updated
03/27/2014
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