Individual
CAROLYN ROSE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
536 WRIGHT ST NE, GRAND RAPIDS, MI 49505-3358
(616) 259-2269
Mailing address
536 WRIGHT ST NE, GRAND RAPIDS, MI 49505-3358
(616) 259-2269
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703083124
MI
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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