Individual
KARLY ROSE MCLEOD HISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.N.P., RN, CPNP-PC
Contact information
Practice address
330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503-2527
(616) 391-8810
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704324281
MI
Other
Enumeration date
02/17/2017
Last updated
04/29/2022
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