Organization
PMH-NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
733 W WARWICK DR UNIT B, ALMA, MI 48801-1115
(517) 812-0802
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
Taxonomy
Speciality
Code
Description
License number
State
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704167440
MI
Other
Enumeration date
11/21/2016
Last updated
06/15/2020
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