Individual
CHEZLYNN DEE CHINAVARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8354 100TH AVE STE 1, STANWOOD, MI 49346-8345
(231) 972-6000
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704217293
MI
Other
Enumeration date
01/09/2023
Last updated
12/18/2023
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