Individual
NANCY GILLHESPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9300
(691) 653-4930
Mailing address
2953 BYRON CENTER AVE SW APT D, WYOMING, MI 49519-2488
(616) 856-9598
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703052846
MI
Other
Enumeration date
12/11/2018
Last updated
03/27/2019
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