Individual provider · Type 1 NPI

Kathleen Sue Van Til, NP

Family Nurse Practitioner · Holland, MI

NPI number 1710224019 Active

Practice location

588 E Lakewood Blvd
Holland, MI 49424-2023

Fax (616) 494-5901

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704151536 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1710224019

Kathleen Sue Van Til, NP's National Provider Identifier is 1710224019, issued on Jan 8, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Holland, MI. The record was last updated on Feb 15, 2021.