Provider Demographics
NPI:1487314597
Name:MULDER, RENEE (FNP-C)
Entity type:Individual
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First Name:RENEE
Middle Name:
Last Name:MULDER
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Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:WEST MICHIGAN NEPHROLOGY PLLC
Mailing Address - Street 2:1250 MERCY DRIVE SUITE 101
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444
Mailing Address - Country:US
Mailing Address - Phone:231-733-1912
Mailing Address - Fax:231-737-4603
Practice Address - Street 1:WEST MICHIGAN NEPHROLOGY PLLC
Practice Address - Street 2:1250 MERCY DRIVE SUITE 101
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444
Practice Address - Country:US
Practice Address - Phone:231-733-1912
Practice Address - Fax:231-737-4603
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
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Provider Licenses
StateLicense IDTaxonomies
MI4704291639363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily