Individual provider · Type 1 NPI
Hailey Van Ham
Nurse Practitioner · Grand Rapids, MI
Practice location
857 Fairfield Ave NW
Grand Rapids, MI 49504-3743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704345684 (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 1306709282
Hailey Van Ham's National Provider Identifier is 1306709282, issued on Dec 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 8, 2025.