Individual
HEATHER A PRUSI-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC, IBCLC
Contact information
Practice address
8450 N 32ND ST, RICHLAND, MI 49083-9418
(269) 552-2500
Mailing address
8450 N 32ND ST, RICHLAND, MI 49083-9418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704225043
MI
Other
Enumeration date
03/13/2013
Last updated
06/24/2024
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