Search › Michigan › 183500000X
Heather Pentecost
NPI 1265716054 · on the registry since 2011
Practice
- Address
- 1965 Baldwin St
Jenison, MI 49428 - Phone
- (616) 457-9630
- Organisation at this address
- Family Fare, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- MI, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan