Individual provider · Type 1 NPI

Laurie Beth Vanderjagt, FNP-C

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1447090170 Active

Practice location

2770 E Beltline Ave NE
Grand Rapids, MI 49525-8614

Call (616) 267-8860 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	4704258632 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1447090170

Laurie Beth Vanderjagt, FNP-C's National Provider Identifier is 1447090170, issued on May 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 5, 2024.