Individual
GLENES HAMERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-C
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-1835
(616) 685-1846
Mailing address
245 STATE ST SE, STE 228, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704141359
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4220942
—
MI
Enumeration date
05/17/2006
Last updated
07/07/2011
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