Organization
RADIANT HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIAHUI NEILLY DNP, FNP-BC, PMHNP-B (FOUNDER/CEO)
(616) 219-0390
Entity
Organization
Contact information
Practice address
1809 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49505-4706
(616) 219-0390
Mailing address
PO BOX 150165, GRAND RAPIDS, MI 49515-0165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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