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Mary Manilla
Nurse Practitioner in Byron Center, Michigan
NPI 1649726829

Mary Manilla is a Nurse Practitioner based in Grand Rapids, MI. Mary Manilla practices in Byron Center, MI. The NPI Number for Mary Manilla is 1649726829 and holds a License No. 4704285854 (Michigan).

The current practice location address for Mary Manilla is 7751 Byron Center Ave Sw, Byron Center, MI and can be reached out via phone at 616-267-7668 and via fax at 616-267-7941.

Location: 7751 Byron Center Ave Sw, Byron Center, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649726829
Provider Name
Mary Manilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
7751 Byron Center Ave Sw, Byron Center, MI, 49503-2560
Phone Number
616-267-7668
Fax Number
616-267-7941
Provider Enumeration Date
08/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7751 Byron Center Ave Sw
City
Byron Center
State
Michigan
Zip
49315-8001
Phone Number
616-267-7668
Fax Number
616-267-7941
person
Provider Business Mailing Address Details
Address
7751 Byron Center Ave Sw
City
Byron Center
State
Michigan
Zip
49315-8001
Phone Number
616-267-7668
Fax Number
616-267-7941
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704285854 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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