Individual
NINA SWILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
(616) 204-8344
Mailing address
659 70TH ST SE, GRAND RAPIDS, MI 49548-7378
(616) 856-6479
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703078327
MI
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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