Individual provider · Type 1 NPI

Amy Vandenbos

Licensed Practical Nurse · Grand Rapids, MI

NPI number 1063004869 Active

Practice location

1500 E Beltline Ave SE
Grand Rapids, MI 49506-4361

Call (855) 407-7575 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703092398 (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.

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About NPI 1063004869

Amy Vandenbos's National Provider Identifier is 1063004869, issued on Feb 3, 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 Feb 3, 2021.