Individual provider · Type 1 NPI
Alex Dale Bylsma, FNP-C
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1902316490
Active
Practice location
1787 Grand Ridge Ct NE Ste 101
Grand Rapids, MI 49525-7042
Fax (616) 252-4595
Mailing address
5900 Byron Center Ave SW, Medical Administration
Wyoming, MI 49519-9606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704306035 (MI) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1902316490
Alex Dale Bylsma, FNP-C's National Provider Identifier is 1902316490, issued on Oct 10, 2017. 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 Feb 8, 2019.