Paul Raymond Drenth Jr., Nurse Practitioner
Nurse Practitioner, Family in Mount Pleasant, MI. Individual provider (NPI-1).
NPI number1497367205
StatusActive
Last updated in NPPESAug 15, 2023
Details
- NPI
- 1497367205
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul Raymond Drenth Jr.
- Credential
- Nurse Practitioner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2020
- Certification date
- Aug 15, 2023
- Last updated
- Aug 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704330961 | MI | Yes |
Practice location
2790 Health PkwyMount Pleasant, MI 48858-6934
Phone 989-956-5320
Mailing address
2790 Health PkwyMount Pleasant, MI 48858-6934
Phone 989-953-5320
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