Individual provider · Type 1 NPI

Rutendo Mavunga, NP

Nurse Practitioner · Allendale, MI

NPI number 1104513654 Active

Practice location

1 Campus Dr
Allendale, MI 49401-9401

Call (616) 331-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704326990 (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 1104513654

Rutendo Mavunga, NP's National Provider Identifier is 1104513654, issued on Apr 24, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Allendale, MI. The record was last updated on Nov 5, 2025.