Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koren Gebben, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1134690761

Koren Gebben, NURSEPRACTITIONER is a Primary Care Nurse Practitioner in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Phone: (616) 808-2695
Fax: (616) 808-2697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704277013 (MI)

Record details

NPI number1134690761
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedDecember 7, 2018
Last updated in NPPESDecember 7, 2018

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