Individual
EDEN NUMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
107 CHICAGO ST, BROOKLYN, MI 49230-9703
(517) 592-1644
(517) 592-1975
Mailing address
10425 DEVILS LAKE HWY, ADDISON, MI 49220-9538
(517) 442-6625
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704383395
MI
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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