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Nathan Charles Southerington
Student in an Organized Health Care Education/Training Program in Kentwood, Michigan
NPI 1528543915

Nathan Charles Southerington is a Student in an Organized Health Care Education/Training Program based in Kentwood, MI. Nathan Charles Southerington practices in Kentwood, MI. The NPI Number for Nathan Charles Southerington is 1528543915 and holds a License No. (Michigan).

The current practice location address for Nathan Charles Southerington is 3560 Long Grove Dr Se, Kentwood, MI and can be reached out via phone at 616-822-4525.

Location: 3560 Long Grove Dr Se, Kentwood, MI, 49512-9365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528543915
Provider Name
Nathan Charles Southerington
Credential
Provider Entity Type
Individual
Gender
Male
Address
3560 Long Grove Dr Se, Kentwood, MI, 49512-9365
Phone Number
616-822-4525
Fax Number
Provider Enumeration Date
10/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3560 Long Grove Dr Se
City
Kentwood
State
Michigan
Zip
49512-9365
Phone Number
616-822-4525
Fax Number
person
Provider Business Mailing Address Details
Address
3560 Long Grove Dr Se
City
Kentwood
State
Michigan
Zip
49512-9365
Phone Number
616-822-4525
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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