Individual
MRS. LEAH ROSE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704364785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704364785
REGISTERED NURSE LICENSE
MI
Enumeration date
03/15/2022
Last updated
03/15/2022
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