Individual
TRACEY RENEE ROBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Mailing address
3271 PHEASANT RIDGE AVE SE, KENTWOOD, MI 49508-2700
(616) 272-9896
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704233792
MI
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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