Individual
RACHEL ELAINE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1023 ELLSMERE ST NE, GRAND RAPIDS, MI 49505-3738
(616) 902-1562
Mailing address
1023 ELLSMERE ST NE, GRAND RAPIDS, MI 49505-3738
(616) 902-1562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704279200
MI
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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