Individual
ALICE REIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 JEFFERSON AVE SE, 6 SOUTH #626, GRAND RAPIDS, MI 49503-4502
(616) 685-5039
(616) 685-8910
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704173684
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4289599
—
MI
05
—
4304677
—
MI
05
—
4346120
—
MI
05
—
4919467
—
MI
05
—
4919476
—
MI
Enumeration date
05/19/2006
Last updated
06/30/2009
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