Individual
MARY ELYSE VEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP, RN
Contact information
Practice address
1445 SHELDON RD, SUITE 301, GRAND HAVEN, MI 49417-2480
(616) 847-2500
(616) 847-6719
Mailing address
1310 WISCONSIN AVE, SUITE 101, GRAND HAVEN, MI 49417-2472
(616) 844-4528
(616) 847-5608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704189605
MI
367A00000X
Advanced Practice Midwife
4704189605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4557180
—
MI
Enumeration date
02/24/2006
Last updated
02/17/2021
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