Individual provider · Type 1 NPI
Laura A. Datema, CNP
Nurse Practitioner · Grand Rapids, MI
Practice location
25 Michigan St NE Ste 4200
Grand Rapids, MI 49503-2559
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704286319 (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 1861153736
Laura A. Datema, CNP's National Provider Identifier is 1861153736, issued on Jan 4, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 29, 2024.