Individual provider · Type 1 NPI
Samantha Vandenberg, FNP
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1629870100
Active
Practice location
4820 Cascade Rd SE Ste B
Grand Rapids, MI 49546-3785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704320926 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629870100
Samantha Vandenberg, FNP's National Provider Identifier is 1629870100, issued on Mar 26, 2025. 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 Mar 26, 2025.