Individual
NATASHA D DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4069 LAKE DR SE STE 118, GRAND RAPIDS, MI 49546-8816
(616) 267-8520
(616) 363-0724
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704245179
MI
Other
Enumeration date
04/15/2010
Last updated
03/02/2021
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