Gary, Maranda Catherine

Gary, Maranda Catherine is an individual health care provider with primary practice located at 2122 Health Drive , Wyoming MI 49519. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gary, Maranda Catherine can be contacted via phone (616) 252-5790.

Contact Information

Primary practice address
2122 Health Drive Wyoming MI 49519
Phone: (616) 252-5790
Fax: (616) 252-5793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704253397 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704253397 Michigan

Profile Details

NPI number 1033547658
LBN Legal business name Gary, Maranda Catherine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2013
Last updated Feb 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033547658 NPPES
Michigan MEDICAID D160078452

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