Courtney Anne Nestor
Sports Medicine
1 Campus Dr
Allendale
, Michigan 49401
Courtney Anne Nestor
Sports Medicine
1 Campus Dr
Allendale
, Michigan 49401
(313) 452-1023
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Courtney Anne Nestor
- 13655 Carmella Ln Apt B
- Holland, MI
- Zip : 49424-8487
- Phone : (313) 452-1023
Second Address
- Courtney Anne Nestor
- 1 Campus Dr
- Allendale, MI
- Zip : 49401
- Phone : (616) 331-3463
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081S0010X | Sports Medicine | RT006089 | MI |
| N | 213ES0000X | Sports Medicine | RT006089 | MI |
National Provider Identifier
| NPI | 1043697923 |
|---|---|
| Provider Name | Courtney Anne Nestor |
| First Address | Holland, MI 49424-8487 |
| Second Address | Allendale, MI 49401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2015 |
| Last Update Date | 09/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.