Individual
MARY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
220 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5050
(616) 685-8962
Mailing address
220 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5050
(616) 685-8962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704251948
MI
Other
Enumeration date
06/21/2019
Last updated
12/03/2021
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