Individual provider · Type 1 NPI

Aubrey Elizabeth Dewildt, NP

Nurse Practitioner · Grand Rapids, MI

NPI number 1275198533 Active

Practice location

145 Michigan St NE Ste 3410
Grand Rapids, MI 49503-2563

Mailing address

100 Michigan St NE
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704307498 (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 1275198533

Aubrey Elizabeth Dewildt, NP's National Provider Identifier is 1275198533, issued on May 2, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 24, 2021.