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Mary Beth Adyniec, NP
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1720006562

Mary Beth Adyniec is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Mary Beth Adyniec practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Mary Beth Adyniec is 1720006562 and holds a License No. 4704131247 (Michigan).

The current practice location address for Mary Beth Adyniec is 1246 Madison Ave Se, Grand Rapids, MI and can be reached out via phone at 616-685-8300.

Location: 1246 Madison Ave Se, Grand Rapids, MI, 49503-4328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720006562
Provider Name
Mary Beth Adyniec
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1246 Madison Ave Se, Grand Rapids, MI, 49503-4328
Phone Number
616-685-8300
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4878622 05 MI
4870508 05 MI
institution
Provider Business Practice Location Address Details
Address
1246 Madison Ave Se
City
Grand Rapids
State
Michigan
Zip
49507-1761
Phone Number
616-685-8300
Fax Number
person
Provider Business Mailing Address Details
Address
1246 Madison Ave Se
City
Grand Rapids
State
Michigan
Zip
49507-1761
Phone Number
616-685-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704131247 (Michigan)
Definition
Definition to come...
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