Individual
MRS. STACY LYNN HANSEN-GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 225-9330
(616) 754-4043
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704227132
MI
Other
Enumeration date
08/31/2022
Last updated
12/04/2024
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