Individual
RUTH E MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 JEFFERSON AVE SE, ST. MARY'S PREADMISSION TESTING, GRAND RAPIDS, MI 49503-4502
(616) 752-6706
(616) 752-6610
Mailing address
7841 LIONEL DR SW, BYRON CENTER, MI 49315-8485
(616) 878-1871
(616) 662-0421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704183561
MI
363LF0000X
Family Nurse Practitioner
Primary
4704183561
MI
Other
Enumeration date
02/08/2007
Last updated
09/11/2025
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