Individual
MRS. KENNEDY LEIGH MIEDEMA- WESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15100 WHITTAKER WAY, GRAND HAVEN, MI 49417-8696
(949) 268-9541
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704351739
MI
Other
Enumeration date
01/05/2022
Last updated
02/27/2024
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