Individual provider · Type 1 NPI

Shannon Lorelle Wiersma, NP

Nurse Practitioner · Grand Rapids, MI

NPI number 1316428253 Active

Practice location

221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537

Call (616) 459-7258 Map

Fax (616) 459-5215

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704292413 (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 1316428253

Shannon Lorelle Wiersma, NP's National Provider Identifier is 1316428253, issued on Aug 28, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 9, 2022.