Individual
JUSTEENA KUIPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 JACKSON ST, PETOSKEY, MI 49770-2220
(231) 348-2795
(231) 348-2031
Mailing address
4773 US HIGHWAY 131 N, BOYNE FALLS, MI 49713-9617
(231) 633-4355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704350292
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704350292
MI
Other
Enumeration date
08/30/2021
Last updated
05/06/2026
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