Individual provider · Type 1 NPI

Phyllis Marie Dehaan, NP

Nurse Practitioner · Holland, MI

NPI number 1669693446 Active

Practice location

336 S River Ave
Holland, MI 49423-3326

Fax (616) 394-3796

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X47041008280 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669693446

Phyllis Marie Dehaan, NP's National Provider Identifier is 1669693446, issued on May 1, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Holland, MI. The record was last updated on May 31, 2016.