Individual provider · Type 1 NPI

Bernice Alice Theule, NP-C

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1679135958 Active

Practice location

2750 E Beltline Ave NE
Grand Rapids, MI 49525-8614

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704194529 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1679135958

Bernice Alice Theule, NP-C's National Provider Identifier is 1679135958, issued on Jul 8, 2019. 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 May 26, 2026.