NPI 1134773468

Stephanie C Mullennix, RNCENAGCNSBC

Practitioner Clinical Nurse Specialist Grand Rapids, MI

Practice location

Address: 4100 Embassy Dr SE STE 400, Grand Rapids, MI 49546-2416
Phone: (616) 988-8233
Fax: (616) 957-3320
Mailing address: 8938 Cottonwood Dr, Jenison, MI 49428-9510

Registered specialties

Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 4704230534 (MI)

Other Clinical Nurse Specialist providers in Michigan →

Registry record

NPI: 1134773468
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2019
Record last updated: 25 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.