Individual
MELISSA LYNN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525-9477
(616) 391-7800
(616) 391-7838
Mailing address
3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525-9477
(616) 391-7800
(616) 391-7838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704231844
MI
363LF0000X
Family Nurse Practitioner
Primary
4704231844
MI
Other
Enumeration date
01/08/2008
Last updated
09/30/2009
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