Individual
CHENOAH WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1471 E BELTLINE AVE NE, STE 102, GRAND RAPIDS, MI 49525-4548
(616) 685-3414
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704275205
MI
363LF0000X
Family Nurse Practitioner
Primary
4704275205
MI
Other
Enumeration date
09/17/2015
Last updated
03/26/2026
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