Individual provider · Type 1 NPI
Mary Carol Vander Wal, NP
Family Nurse Practitioner · Marne, MI
NPI number
1508092354
Active
Practice location
13712 32nd Ave
Marne, MI 49435-9727
Fax (616) 677-5330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704118232 (MI) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Marne
About NPI 1508092354
Mary Carol Vander Wal, NP's National Provider Identifier is 1508092354, issued on Jun 8, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marne, MI. The record was last updated on Jun 8, 2009.