Individual
MELISSA LEANNE GUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
145 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2562
(616) 954-9800
Mailing address
5800 FOREMOST DR SE STE 300, GRAND RAPIDS, MI 49546-7062
(616) 389-1725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704314134
MI
Other
Enumeration date
11/11/2021
Last updated
02/08/2023
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