Individual
BRENDA JANE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4150 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 913-2006
Mailing address
7418 ANDY CT, HUDSONVILLE, MI 49426-7517
(616) 558-6697
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704205126
MI
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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