Individual provider · NPI-1

Mary Beth Adyniec, NP

Nurse Practitioner, Family · Grand Rapids, MI

NPI number1720006562
StatusActive
Last updated in NPPESJun 7, 2013

Details

NPI
1720006562
Entity type
Individual (NPI-1)
Name
Mary Beth Adyniec
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 18, 2006
Last updated
Jun 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704131247MIYes

Practice location

1246 Madison Ave Se
Grand Rapids, MI 49507-1761

Phone 616-685-8300

Mailing address

245 State St Se
Grand Rapids, MI 49503-4328

Phone 616-685-1808 · Fax 616-685-8099

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