Individual
MRS. MICHELLE MARIE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7 ATKINSON DR STE 200, LUDINGTON, MI 49431-1917
(231) 843-6767
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704165818
MI
363LF0000X
Family Nurse Practitioner
Primary
4704165818
MI
Other
Enumeration date
09/24/2009
Last updated
02/26/2021
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