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Individual

JENNIFER L NAUTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CCM, ONC

Contact information

Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704210377
MI

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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