Individual
HILARY K MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
330 BARCLAY AVE NE, STE 200, GRAND RAPIDS, MI 49503-2556
(616) 391-8882
Mailing address
100 MICHIGAN ST NE, MC 133, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704242489
MI
Other
Enumeration date
11/11/2008
Last updated
06/05/2013
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