Organization
PNA LTD.
Active
Other names
Professional Nursing Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY RENEE ANDERSON LMSW (CHIEF OPERATING OFFICER)
(231) 755-7115
Entity
Organization
Contact information
Practice address
905 W SUMMIT AVE, MUSKEGON, MI 49441-4049
(231) 755-7115
(231) 759-7122
Mailing address
905 W SUMMIT AVE, MUSKEGON, MI 49441-4049
(231) 755-7115
(231) 759-7122
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4364414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4364414
—
MI
Enumeration date
02/28/2007
Last updated
08/22/2020
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