Individual
CHRISTINE DE ANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
151840
MO
163W00000X
Registered Nurse
Primary
4704247559
MI
Other
Enumeration date
02/09/2017
Last updated
04/30/2026
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