Individual
MRS. AYESHA SYED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-5783
(616) 954-1518
(616) 954-1520
Mailing address
2100 RAYBROOK ST SE, STE 203, GRAND RAPIDS, MI 49546-6927
(616) 954-1518
(616) 954-1520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704254106
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704254106
MI
Other
Enumeration date
05/20/2016
Last updated
04/22/2020
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