Individual provider · Type 1 NPI
Eric Randall Dejong, AGACNP
Gerontology Nurse Practitioner · Holland, MI
NPI number
1629619903
Active
Practice location
602 Michigan Ave Ste 102
Holland, MI 49423-4918
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704295254 (MI) |
Gerontology Nurse Practitioner: Definition to come...
7 other providers at this address
- Annika BajemaFamily Nurse Practitioner Holland, MI NPI 1548124704
- Anthony Dils, MDCardiovascular Disease Physician Holland, MI NPI 1023634532
- Ashley Susan Tiemeyer Theisen, PA-CPhysician Assistant Holland, MI NPI 1770103210
- Keith Francis Frank, DOCardiovascular Disease Physician Holland, MI NPI 1609217165
- Marcel Michael Letourneau, D.OInterventional Cardiology Physician Holland, MI NPI 1013355007
- Melissa Marie Eisenhauer, PAPhysician Assistant Holland, MI NPI 1295391217
- Rajus Chopra, MDCardiovascular Disease Physician Holland, MI NPI 1649632720
Other gerontology nurse practitioner providers in Holland
About NPI 1629619903
Eric Randall Dejong, AGACNP's National Provider Identifier is 1629619903, issued on Oct 8, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Holland, MI. The record was last updated on Oct 14, 2022.