Individual
MS. ALICE MARIE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4829 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9747
(616) 267-7069
(616) 363-0724
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704174306
MI
363LW0102X
Women's Health Nurse Practitioner
Primary
4704174306
MI
363LW0102X
Women's Health Nurse Practitioner
ARNP 9251518
FL
Other
Enumeration date
11/29/2005
Last updated
10/29/2013
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