Individual provider · Type 1 NPI
Katherine Defouw
Nurse Practitioner · Grand Rapids, MI
Practice location
230 Michigan St NE, Suite 230
Grand Rapids, MI 49503-2550
Fax (616) 391-8665
Mailing address
100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704251605 (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 1467869859
Katherine Defouw's National Provider Identifier is 1467869859, issued on Jul 17, 2014. 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 2, 2021.