Amelia Rose Grayson, DNP, NP-C
Psychiatry & Neurology, Psychiatry in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1962050252
StatusActive
Last updated in NPPESDec 18, 2020
Details
- NPI
- 1962050252
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amelia Rose Grayson
- Credential
- DNP, NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2019
- Certification date
- Dec 18, 2020
- Last updated
- Dec 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 4704305033 | MI | Yes |
| 207QA0505X | Family Medicine, Adult Medicine | 4704305033 | MI | |
| 207R00000X | Internal Medicine | 4704305033 | MI |
Practice location
100 Cherry St SeGrand Rapids, MI 49503-4526
Phone 616-965-8200
Mailing address
259 Morris Ave SeGrand Rapids, MI 49503-4603
Phone 616-460-2992
Other practice locations
1055 Medical Park Dr Se
Grand Rapids, MI 49546-8323
Grand Rapids, MI 49546-8323
Phone 616-942-9610
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