Individual
DARLA DANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2379
(419) 973-9484
Mailing address
710 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2379
(616) 421-9387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0030094
OH
363L00000X
Nurse Practitioner
Primary
290478
AZ
363L00000X
Nurse Practitioner
4704356150
MI
Other
Enumeration date
10/08/2021
Last updated
09/24/2024
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