Individual
RANDA PREIHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
145 MICHIGAN ST NE, SUITE 5500, GRAND RAPIDS, MI 49503-2562
(616) 267-8540
(616) 458-6230
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704254371
MI
364SX0200X
Oncology Clinical Nurse Specialist
4704254371
MI
Other
Enumeration date
08/12/2016
Last updated
02/18/2021
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