MARK CONTRERAS (NPI# 1477049518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477049518 |
Entity Type | Individual |
Full Name | MARK CONTRERAS |
Credential | AGNP-C |
Practice Address |
72 Sheldon Blvd Se # 130 Grand Rapids MI 49504 |
Mailing Address |
72 Sheldon Ave Se Grand Rapids MI 49503-4234 |
Practice Telephone | 6163319830 |
Practice Fax Number | 6163312510 |
Mailing Telephone | 6163319830 |
Mailing Fax Number | 6163319831 |
Enumeration Date | 2018-07-02 |
Last Update Date | 2018-12-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704283879 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588261259 | Mark Anthony Contreras | Counselor | 11 Peach Dr, Salinas, CA 93901-3710 | 2020-10-06 |
Street Address |
72 SHELDON BLVD SE # 130 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
1235413758 | Kelly Suzanne Peterson | Naturopath | 638 Fulton St W Suite B, Grand Rapids, MI 49504 | 2011-10-03 |
Find all providers in zip 49504 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
1811437817 | Embree Embracing Quality Care 'at Your Front Door' | Nurse Practitioner | 1735 Woodward Ave Se, Grand Rapids, MI 49506-4531 | 2017-02-24 |
1295083152 | Joanne P Sherwood | Nurse Practitioner | 703 Ball Ave, Grand Rapids, MI 49506 | 2012-08-27 |
1831416478 | Cheryl A Sisco | Nurse Practitioner | 200 Jefferson Ave., Grand Rapids, MI 49503 | 2010-04-21 |
1063742518 | Joanne Lois Jepsen | Nurse Practitioner | 2100 Raybrook Ave Se, Suite 300, Grand Rapids, MI 49546 | 2010-01-06 |
1356571749 | Cathleen Suzanne Bouwsma | Nurse Practitioner | 250 Fuller Ave Se, Grand Rapids, MI 49506-1675 | 2009-07-20 |
1497828214 | Jacob William Turmell | Nurse Practitioner | 2774 Birchcrest Dr Se, Grand Rapids, MI 49506 | 2006-11-17 |
1285666701 | Sarah Anne Akers | Nurse Practitioner | 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 | 2006-07-07 |
1083212245 | Jennifer Renee Jacobs | Nurse Practitioner | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-10-11 |
1992215768 | Heather Metz | Nurse Practitioner | 710 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-2379 | 2017-10-06 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49504 |
Please comment or provide details below to improve the information on MARK CONTRERAS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.