Individual
BARBARA DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 RAYBROOK ST SE, SUITE 203, GRAND RAPIDS, MI 49546-7759
(616) 954-3350
(616) 954-1520
Mailing address
2100 RAYBROOK ST SE, SUITE 203, GRAND RAPIDS, MI 49546-7759
(616) 954-3350
(616) 954-1520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704144460
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704144460
BOARD OF NURSING
MI
Enumeration date
03/24/2014
Last updated
03/24/2014
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