Individual provider · Type 1 NPI

Lisa Anne Vandyke, RN

Registered Nurse · Grand Rapids, MI

NPI number 1619481884 Active · reactivated Nov 6, 2025

Practice location

790 Fuller Ave NE
Grand Rapids, MI 49503-1918

Call (616) 889-9162 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704402860 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1619481884

Lisa Anne Vandyke, RN's National Provider Identifier is 1619481884, issued on Nov 27, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 6, 2025.