Individual provider · Type 1 NPI

Carissa Johanna Vanderwoude, FNP

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1285349464 Active

Practice location

1900 Wealthy St SE Ste 200
Grand Rapids, MI 49506-2969

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704335926 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1285349464

Carissa Johanna Vanderwoude, FNP's National Provider Identifier is 1285349464, issued on Jan 23, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 21, 2023.