Individual provider · Type 1 NPI
Elizabeth Vander Weide
Adult Psychiatric/Mental Health Registered Nurse · Grand Rapids, MI
NPI number
1609743640
Active
Practice location
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Fax (616) 336-8830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 4704406120 (MI) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1609743640
Elizabeth Vander Weide's National Provider Identifier is 1609743640, issued on Oct 23, 2025. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 23, 2025.