Individual
JULIE ANN MARDAUSS-KAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5991 95TH AVE, EVART, MI 49631-9386
(231) 734-5561
(231) 734-6438
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704165835
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704165835
MI
Other
Enumeration date
09/21/2006
Last updated
03/24/2022
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