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Audrey Macciomei
NPI 1639927593 · on the registry since 2024 · sole proprietor
Practice
- Address
- 630 Kenmoor Ave Se Ste 103
Grand Rapids, MI 49546 - Phone
- (616) 600-4950
- Organisation at this address
- Kara Pettinger, L.L.C.
Womens Health Collective
Thistle And Fern Wellness Llc
Blue Bridge Specialty Pharmacy, Llc
Melissa Muir Counseling Services PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-07
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