Individual
HALEY JOHANNA DEHAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4605 4 MILE RD NE, GRAND RAPIDS, MI 49525-9670
(616) 560-3237
Mailing address
4605 4 MILE RD NE, GRAND RAPIDS, MI 49525-9670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704432270
MI
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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