Individual provider · Type 1 NPI

Paul Dieleman, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI

NPI number 1003263450 Active

Practice location

1131 Ionia Ave NW
Grand Rapids, MI 49503-1020

Fax (616) 259-7909

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704247208 (MI)
Registered Nurse 163W00000X4704247208 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003263450

Paul Dieleman, PMHNP-BC's National Provider Identifier is 1003263450, issued on May 16, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 19, 2018.