Individual
MRS. KELLY MARISSA BURRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
664 MICHIGAN AVE, HOLLAND, MI 49423-4944
(616) 392-5973
(616) 392-1646
Mailing address
664 MICHIGAN AVE, HOLLAND, MI 49423-4944
(616) 392-5973
(616) 392-1646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704247029
MI
Other
Enumeration date
10/16/2014
Last updated
07/02/2019
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