Individual provider · Type 1 NPI

Tanya Wonnacott, DNP, RN, AGNP-C

Physical Medicine & Rehabilitation Physician · Grand Rapids, MI

NPI number 1407778061 Active

Practice location

350 Lafayette Ave SE
Grand Rapids, MI 49503-4600

Call (616) 459-0801 Map

Mailing address

10878 Mary Eliz Ct
Allendale, MI 49401-8398

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4704356026 (MI)
Physical Medicine & Rehabilitation Physician Primary 208100000X1437192374 (MI)

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

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About NPI 1407778061

Tanya Wonnacott, DNP, RN, AGNP-C's National Provider Identifier is 1407778061, issued on Jul 27, 2026. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 12, 2026.