MARK CONTRERAS


Address: 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504
Phone: 6163319830

MARK CONTRERAS (NPI# 1477049518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers MARK CONTRERAS

NPI Name Taxonomy Address Enumeration
1588261259 Mark Anthony Contreras Counselor 11 Peach Dr, Salinas, CA 93901-3710 2020-10-06

Office Location

Street Address 72 SHELDON BLVD SE # 130
City GRAND RAPIDS
State MI
Zip Code 49504

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City GRAND RAPIDS
Zip Code 49504

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Dataset Information

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.

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