Individual provider · Type 1 NPI

Michelle L. Vandentoorn

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1396196440 Active

Practice location

275 Michigan St NE
Grand Rapids, MI 49503-2531

Fax (616) 267-7594

Mailing address

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

Other practice locations

  • 2750 E Beltline Ave NE, Grand Rapids, MI 49525-8614 · (616) 267-7104

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704278133 (MI)
Nurse Practitioner 363L00000X4704278133 (MI)
Primary Care Nurse Practitioner 363LP2300X4704278133 (MI)
Adult Health Clinical Nurse Specialist 364SA2200X4704278133 (MI)
Gerontology Nurse Practitioner Primary 363LG0600X4704278133 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1396196440

Michelle L. Vandentoorn's National Provider Identifier is 1396196440, issued on Jun 29, 2016. 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 Dec 9, 2024.