Individual
MS. BETH ANN WELLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGCNS-BC
Contact information
Practice address
330 BARCLAY AVE NE, GRAND RAPIDS, MI 49503-2556
(616) 204-5799
Mailing address
1160 GRISWOLD ST SE, GRAND RAPIDS, MI 49507-3813
(616) 204-5799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704244038
MI
Other
Enumeration date
04/29/2022
Last updated
05/02/2022
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