Individual
DANIELLE L KFOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10218982-3102
UT
363L00000X
Nurse Practitioner
2021033192
MO
363LF0000X
Family Nurse Practitioner
Primary
10218982-4405
UT
Other
Enumeration date
03/16/2021
Last updated
11/19/2024
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