Individual
REBECCA JAWAHIR SYPNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1471 E BELTLINE AVE NE, SUITE 201, GRAND RAPIDS, MI 49525-4548
(616) 685-8620
(616) 447-7674
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-1808
(616) 685-8099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704215723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4687890
—
MI
Enumeration date
10/13/2006
Last updated
02/16/2016
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