Individual
ALYSSA SHEA CAMINATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546-8292
(616) 267-8244
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704287921
MI
Other
Enumeration date
07/12/2018
Last updated
09/19/2022
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