Individual
KARISSA RENTFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9686
(269) 252-7200
Mailing address
4030 SPRINGMIST DR, HUDSONVILLE, MI 49426-6403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704308060
MI
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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