Individual
JAN MICHELE BOWERMAN-TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
330 E BELTLINE AVE NE, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Mailing address
330 E BELTLINE AVE NE, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704242582
MI
363L00000X
Nurse Practitioner
Primary
4704242582
MI
Other
Enumeration date
02/20/2015
Last updated
06/17/2015
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