Individual
HEATHER MARIE COOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 NORTHLAND DR NE STE 200, ROCKFORD, MI 49341-9257
(616) 685-7985
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704320566
MI
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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