Individual provider · Type 1 NPI

Heidi Ann Ogle, RN

Registered Nurse · Grand Rapids, MI

NPI number 1104739705 Active

Practice location

790 Fuller Ave NE
Grand Rapids, MI 49503-1918

Fax (616) 336-8830

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	4704277375 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104739705

Heidi Ann Ogle, RN's National Provider Identifier is 1104739705, issued on Sep 24, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 24, 2026.