Jan Koebbe in Grand Rapids - Nurse Practitioner

Jan Koebbe - NPI 1437268448

Jan Koebbe is a Nurse Practitioner in Grand Rapids, Michigan. Jan Koebbe practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jan Koebbe is 1437268448. The last update date is 2017-02-20.

Jan Koebbe's current location address is 235 Wealthy St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6168408719 and fax number 6168409637. The mailing address for Jan Koebbe is 235 Wealthy St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jan Koebbe
Address 235 Wealthy St Se, Grand Rapids, Michigan
Phone Number 6168408719
Fax Number 6168409637
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1437268448
Provider Enumeration Date 2006-08-30
Last Updated Date 2017-02-20

Provider Mailing Address Detail

Address 235 Wealthy St Se
City Grand Rapids
State Michigan (MI)
Post Code 495035247
Phone Number 6168408719
Fax Number 6168409637

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 4704127360
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
104545821 MI --
JK127360 MI BLUE CROSS

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FAQs about Jan Koebbe

What is the unique 10-digit identification code issued to Jan Koebbe by the Centers for Medicare & Medicaid Services?

The Jan Koebbe has been assigned the NPI (National Provider Identifier) 1437268448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Jan Koebbe is physically located?

The Jan Koebbe is physically situated at the following address: 235 Wealthy St Se, Grand Rapids, MI, 495035247.

What is Jan Koebbe's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jan Koebbe is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

When did the Jan Koebbe receive its 1437268448?

The Jan Koebbe was issued its 1437268448 on 2006-08-30, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Jan Koebbe last refreshed?

The information related to the Jan Koebbe, including its address, specialty, and other relevant details, was last updated on 2017-02-20.

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