Individual provider · Type 1 NPI

Kimberly Ann Gonyea, NP

Nurse Practitioner · Grand Rapids, MI

NPI number 1700994860 Active

Practice location

3600 E Fulton
Grand Rapids, MI 49546-1322

Fax (616) 248-3530

Mailing address

36115 Schoolcraft Rd
Livonia, MI 48150-1216

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704153798 (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 1700994860

Kimberly Ann Gonyea, NP's National Provider Identifier is 1700994860, issued on Aug 29, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 11, 2014.