Individual
KATELYN BASSUENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2100 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7759
(616) 956-9440
Mailing address
6521 NEARPOINT DR SE, CALEDONIA, MI 49316-8443
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704318748
MI
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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