Individual provider · Type 1 NPI

Greg Allen Booth Vander Wel, LPN

Licensed Practical Nurse · Grand Rapids, MI

NPI number 1023680964 Active

Practice location

470 Baltimore Dr NE
Grand Rapids, MI 49503-3934

Call (616) 726-1909 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703114773 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4 other providers at this address

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About NPI 1023680964

Greg Allen Booth Vander Wel, LPN's National Provider Identifier is 1023680964, issued on Jul 12, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 12, 2021.