Individual
ANDREA L PERRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1675 LEAHY ST STE 404B, MUSKEGON, MI 49442-5544
(231) 728-1695
(231) 728-5906
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 672-4900
(231) 672-3881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704110689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ON34010
MEDICARE GROUP NUMBER
—
Enumeration date
01/08/2007
Last updated
07/17/2008
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