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Koren Gebben, NURSEPRACTITIONER
Primary Care Nurse Practitioner in Grand Rapids, Michigan
NPI 1134690761

Koren Gebben is a Primary Care Nurse Practitioner based in Grand Rapids, MI and is specialized in Primary Care. Koren Gebben practices in Grand Rapids, MI and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Koren Gebben is 1134690761 and holds a License No. 4704277013 (Michigan).

The current practice location address for Koren Gebben is 1959 East Paris Ave Se, Grand Rapids, MI and can be reached out via phone at 616-808-2695 and via fax at 616-808-2697.

Location: 1959 East Paris Ave Se, Grand Rapids, MI, 49546-6272
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Provider Profile Details
NPI Number
1134690761
Provider Name
Koren Gebben
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1959 East Paris Ave Se, Grand Rapids, MI, 49546-6272
Phone Number
616-808-2695
Fax Number
616-808-2697
Provider Enumeration Date
12/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704277013 01 MI LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1959 East Paris Ave Se
City
State
Zip
49546-6272
Phone Number
616-808-2695
Fax Number
616-808-2697
person
Provider Business Mailing Address Details
Address
1959 East Paris Ave Se
City
State
Zip
49546-6272
Phone Number
616-808-2695
Fax Number
616-808-2697
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
4704277013 (Michigan)
Definition
Definition to come...
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