Individual
LEONA BETH MEENGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, APRN, BC
Contact information
Practice address
4211 PARKWAY PLACE, GRANDVILLE, MI 49418
(616) 222-3700
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704221011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500D111330G
BC/BS
MI
Enumeration date
08/18/2006
Last updated
07/09/2007
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