Individual
MRS. MARY ANN DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(629) 226-7000
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704279511
MI
363L00000X
Nurse Practitioner
AP140290
TX
Other
Enumeration date
10/18/2018
Last updated
03/02/2022
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