Individual
MALINDA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(164) 555-2706
(616) 455-5460
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704313838
MI
363L00000X
Nurse Practitioner
4704313838
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704313838
MI
Other
Enumeration date
08/02/2024
Last updated
11/11/2025
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