Individual
BRENDA R RAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7184
(616) 252-6218
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, MINNEAPOLIS, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
161098-1
MN
363LN0000X
Neonatal Nurse Practitioner
Primary
4704146251
MI
Other
Enumeration date
05/16/2006
Last updated
02/05/2019
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