Michigan Born and Raised LLC

NPI #1245741651 in Grandville, Michigan

Provider Information

NPI Number: 1245741651
Entity Type: Organization
Organization Name: Michigan Born and Raised LLC
Primary Specialty: Midwife
Enumeration Date: Oct 12, 2017
Last Updated: Oct 12, 2017

Practice Location

Address: 2932 CHICAGO DR SW
City: Grandville
State: Michigan
ZIP Code: 49418-1176
Phone: (231) 557-7118

Authorized Official

Name: MS. AMANDA KRISTIN GARVEY, MPH, EMT
Title: CO-OWNER/HEALTH EDUCATOR
Phone: (231) 557-7118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Women's Health — Women's Health	363LW0102X
Doula	374J00000X
Health Educator	174H00000X
Lactation Consultant, Non-RN	174N00000X
Midwife	176B00000X	Primary

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