Individual provider · Type 1 NPI

Clara Vanderweide

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1558744797 Active

Practice location

730 Grandville Ave SW
Grand Rapids, MI 49503-4920

Mailing address

1900 44th St SE
Kentwood, MI 49508-5008

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704293832 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1558744797

Clara Vanderweide's National Provider Identifier is 1558744797, issued on Jul 7, 2015. 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 Jul 7, 2015.