Individual
PATRICIA MARIA DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1310 WISCONSIN ST STE 100, GRAND HAVEN, MI 49417-2472
(616) 296-1600
(616) 296-1604
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(616) 296-1600
(616) 296-1602
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704168822
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N33890
MEDICARE GROUP PIN
MI
Enumeration date
06/17/2005
Last updated
01/05/2022
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