Innovative Health at Home
NPI #1831729086 in Norton Shores, Michigan
Provider Information
- NPI Number
- 1831729086
- Entity Type
- Organization
- Organization Name
- Innovative Health at Home
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Jan 16, 2020
- Last Updated
- Nov 13, 2024
Practice Location
- Address
- 560 SEMINOLE RD
- City
- Norton Shores
- State
- Michigan
- ZIP Code
- 49444-3720
- Phone
- (231) 733-3525
Authorized Official
- Name
- KIMBERLY JOAN VAZQUEZ
- Title
- MEDICAL SERVICES ADMINISTRATOR
- Phone
- (231) 733-3525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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