Organization
MICHIGAN BORN AND RAISED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA KRISTIN GARVEY MPH, EMT (CO-OWNER/HEALTH EDUCATOR)
(231) 557-7118
Entity
Organization
Contact information
Practice address
2932 CHICAGO DR SW, GRANDVILLE, MI 49418-1176
(231) 557-7118
Mailing address
19702 MAPLE AVE, CONKLIN, MI 49403-9562
(231) 557-7118
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
374J00000X
Doula
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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