| Kelly Anne Bruch, RN, MSN, CNM | |
|
80 68th St Se Ste 301, Grand Rapids, MI 49548-6980 | |
| (616) 391-3302 | |
| Not Available |
| Full Name | Kelly Anne Bruch |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 80 68th St Se Ste 301, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235876178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704330667 (Michigan) | Primary |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Hurley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Anne Bruch, RN, MSN, CNM 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Kelly Anne Bruch, RN, MSN, CNM 80 68th St Se Ste 301, Grand Rapids, MI 49548-6980 Ph: (616) 391-3302 |
Courtney Tamburello Hilbert, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503 Phone: 616-391-2160 | |
Jan Margaret Buchanan, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503 Phone: 616-391-2160 | |
Jennifer Marie Shanley, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 426 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3302 | |
Carolyn E Leja, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503 Phone: 616-391-1751 | |
Mariel Christine Haverdink, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 80 68th St Se Ste 301, Grand Rapids, MI 49548 Phone: 616-391-3302 | |
Erin Irwin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-2160 | |
Laurel Patricia Jessup, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc027, Grand Rapids, MI 49503 Phone: 616-391-2160 |