Individual
MRS. MEGAN AMBER DEBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
260 JEFFERSON AVE SE STE 221, GRAND RAPIDS, MI 49503-4597
(616) 685-5420
(616) 685-8943
Mailing address
PO BOX 776974, CHICAGO, IL 60677-6974
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704302495
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704302496
MI
Other
Enumeration date
06/20/2019
Last updated
02/20/2024
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