Individual provider · Type 1 NPI
Laura Sue Deweerd, FNP-BC
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1699344218
Active
Practice location
2900 Bradford St NE
Grand Rapids, MI 49525-6427
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704244900 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1699344218
Laura Sue Deweerd, FNP-BC's National Provider Identifier is 1699344218, issued on Jun 18, 2021. 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 Sep 7, 2021.