IndividualActive
Mary Luciani
NPI 1750169439 · Adult Health Clinical Nurse Specialist · Grand Rapids, MI
Provider details
- NPI number
- 1750169439
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704394196 (MI)
Practice location
200 Jefferson Ave Se
Grand Rapids, MI 49503-4502
Phone: (317) 828-3956
Mailing address
9053 Hearthstone Dr
Zionsville, IN 46077-5514
Registry dates
- Enumerated
- 2023-09-15
- Last updated
- 2023-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.