Individual
CAROLINE A RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 MICHIGAN ST NE, SUITE 3003, GRAND RAPIDS, MI 49503-2514
(616) 267-2500
(616) 267-2501
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704179751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558407189
GROUP NPI
MI
05
—
4632542
—
MI
01
—
5008703460
BCBS PIN
MI
Enumeration date
06/14/2006
Last updated
02/22/2021
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