Individual
MRS. KAREN LEE SIVERTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8128 AMY SCHOOL RD, HOWARD CITY, MI 49329
(616) 589-2338
Mailing address
8125 N AMY SCHOOL RD, HOWARD CITY, MI 49329-9751
(616) 589-2338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703097816
MI
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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