Individual
MRS. MARY B O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C, FNP, MS
Contact information
Practice address
10383 42ND AVE, ALLENDALE, MI 49401-8207
(616) 252-6030
(616) 252-6035
Mailing address
1925 BRETON RD SE, SUITE 201, GRAND RAPIDS, MI 49506-4810
(616) 252-6030
(616) 252-6035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704107338
MI
Other
Enumeration date
02/28/2007
Last updated
02/21/2012
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