Organization · Type 2 NPI

Advanced Practice Nurse Staffing Associate, LLC

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1336665769 Active

Practice location

4448 Koinonia Dr NE
Grand Rapids, MI 49525-9332

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	None listed
Gerontology Nurse Practitioner Primary	363LG0600X	None listed

Gerontology Nurse Practitioner: Definition to come...

NPI record

NPI: 1336665769
Entity type: Organization (Type 2)
Issued: Aug 17, 2017
Last updated: Jan 10, 2018
Status: Active
Subpart: Yes of Advanced Practice Nurse Staffing Associates, LLC

Other names

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Advanced Practice Nurse Staffing Associates, LLC · other name
Advanced Practice Nurse Staffing Associates, LLC · other name

Authorized official

Gretchen Schumacher, PhD, NP
Owner
(616) 649-3776

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336665769

Advanced Practice Nurse Staffing Associate, LLC's National Provider Identifier is 1336665769, issued on Aug 17, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 10, 2018.