Individual
BETH MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
890 S WASHINGTON AVE, HOLLAND, MI 49423-7731
(616) 494-0127
Mailing address
4085 BURTON ST SE, S-200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704133931
MI
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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