Individual
NANCY ELIZABETH MCGORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRM
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(231) 598-2005
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(231) 598-2005
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
M-00423
MI
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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