Individual
SAMANTHA GORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
107 PROSPECT AVE SE, GRAND RAPIDS, MI 49503-4319
(517) 879-9653
Mailing address
107 PROSPECT AVE SE, GRAND RAPIDS, MI 49503-4319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704360887
MI
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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