Individual provider · Type 1 NPI

Kelsey Jean Vanderwiere, CPNP-AC

Pediatric Nurse Practitioner · Grand Rapids, MI

NPI number 1225670276 Active

Practice location

35 Michigan St NE Fl 2
Grand Rapids, MI 49503-2514

Call (616) 267-1925 Map

Fax (616) 267-1005

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X20199763 (MI)
Pediatric Nurse Practitioner Primary 363LP0200X20199763 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1225670276

Kelsey Jean Vanderwiere, CPNP-AC's National Provider Identifier is 1225670276, issued on Oct 10, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 11, 2025.