Dr. Katherine Pruss
Nurse Practitioner - Family Medicine
3201 Burton St Se Sb 260
Grand Rapids
, Michigan 49546-4301
Dr. Katherine Pruss
Nurse Practitioner - Family Medicine
3201 Burton St Se Sb 260
Grand Rapids
, Michigan 49546-4301
(734) 223-4562
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Dr. Katherine Pruss
- 3411 Burton Ridge Rd Se Apt B
- Grand Rapids, MI
- Zip : 49546-5834
- Phone : (734) 223-4562
Second Address
- Dr. Katherine Pruss
- 3201 Burton St Se Sb 260
- Grand Rapids, MI
- Zip : 49546-4301
- Phone : (616) 526-6808
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 4704274169 | MI |
National Provider Identifier
| NPI | 1003342551 |
|---|---|
| Provider Name | Dr. Katherine Pruss |
| First Address | Grand Rapids, MI 49546-5834 |
| Second Address | Grand Rapids, MI 49546-4301 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2017 |
| Last Update Date | 03/05/2017 |
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.