Individual provider · Type 1 NPI

Annette Broersma, NP-C

Nurse Practitioner · Grand Rapids, MI

NPI number 1043300791 Active

Practice location

221 Michigan St NE, Suite 200
Grand Rapids, MI 49503-2543

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704141380 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043300791

Annette Broersma, NP-C's National Provider Identifier is 1043300791, issued on Oct 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 7, 2022.