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Kiva Da-shan Bauswell, A-GNP
Gerontology Nurse Practitioner in Grand Rapids, Michigan
NPI 1508531088

Kiva Da-shan Bauswell is a Gerontology Nurse Practitioner based in Grand Rapids, MI and is specialized in Gerontology. Kiva Da-shan Bauswell practices in Grand Rapids, MI and has the professional credentials of A-GNP. The NPI Number for Kiva Da-shan Bauswell is 1508531088 and holds a License No. 4704291746 (Michigan).

The current practice location address for Kiva Da-shan Bauswell is 145 Michigan St Ne Ste 3410, Grand Rapids, MI and can be reached out via phone at 616-391-9945.

Location: 145 Michigan St Ne Ste 3410, Grand Rapids, MI, 49503-2560
person
Provider Profile Details
NPI Number
1508531088
Provider Name
Kiva Da-shan Bauswell
Credential
A-GNP
Provider Entity Type
Individual
Gender
Female
Address
145 Michigan St Ne Ste 3410, Grand Rapids, MI, 49503-2560
Phone Number
616-391-9945
Fax Number
Provider Enumeration Date
08/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
145 Michigan St Ne Ste 3410
City
State
Zip
49503-2563
Phone Number
616-391-9945
Fax Number
person
Provider Business Mailing Address Details
Address
145 Michigan St Ne Ste 3410
City
State
Zip
49503-2563
Phone Number
616-391-9945
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704291746 (Michigan)
Definition
Definition to come...
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