Unknown Individual – Nurse Practitioner, NPI 1780798561
Nurse Practitioner
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Provider Addresses for Unknown Individual
Pine Rest Christian Mental Health Services, 300, 68th Street Southeast, Grand Rapids, Gaines Township, Kent County, Michigan, 49501, United States
GRAND RAPIDS, MI 495486927
Phone: (616) 455-5000
Type: Mailing
Parkway Place Drive, Grandville, Kent County, Michigan, 49518, United States
GRANDVILLE, MI 49418
Phone: (616) 222-3700
Type: Location
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49548)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MI | 90792 | Psychiatric diagnostic evaluation with medical services | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Clinical Social Worker | IA | |
| P S Y C H I A T R Y | MI | |
| Clinical Psychologist | MI | |
| - | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | MI | |
| Clinical Psychologist | MI | |
| Clinical Social Worker | MI |
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