Individual
PAULA ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2201 S GETTY ST, MUSKEGON, MI 49444-1207
(231) 739-9315
Mailing address
695 HORTON RD, MUSKEGON, MI 49445-1938
(231) 233-5722
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704216288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704216288
LARA
MI
Enumeration date
09/15/2020
Last updated
09/15/2020
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