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NPI Code Detail

MEDICARE: MRS. DENISE ALBERTS

MEDICARE:  MRS. DENISE  ALBERTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174H00000XHealth Educator

General Provider Information

NPI Number : 1982174165
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE ALBERTS
Provider Business Mailing Address
First Line : 7136 BOUMAN DR
Second Line :
City : MIDDLEVILLE
State : MI
Zip : 49333-8663
Country : US
Telephone Number : 269-795-7812
Fax Number :
Provider Business Practice Location Address
First Line : 1345 MONROE AVE NW
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49505-4671
Country : US
Telephone Number : 616-458-9520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2018
Last Update Date : 11/29/2018

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Directions to “ MRS. DENISE ALBERTS ” Practice Location

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