Karen M Revitte, NP
Nurse Practitioner in Kentwood, MI. Individual provider (NPI-1).
NPI number1598021487
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1598021487
- Entity type
- Individual (NPI-1)
- Name
- Karen M Revitte
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2012
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704207782 | MI | Yes |
Other names
- Karen M Cabansag (Former Name)
Practice location
4600 Breton Rd SeSuite 102
Kentwood, MI 49508-5262
Phone 616-391-9700 · Fax 616-391-9707
Mailing address
100 Michigan St NeMc 845
Grand Rapids, MI 49503-2560
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Other Nurse Practitioner providers in Kentwood, MI
- Diane Anderson, NPNPI 1548283062
- Daniel De Young, NPNPI 1437601945
- Amber Paige Gall, NPNPI 1033569587
- Sarah Marie Shepler, DNP, AGNP-CNPI 1164089108
All 5 Nurse Practitioner providers in Kentwood · All 908 providers in Kentwood
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