Individual
MARIEL ALBERTA MAITLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, ACNPC-AG
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7922
(616) 252-6299
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704243745
MI
Other
Enumeration date
04/19/2023
Last updated
08/30/2023
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