Individual provider · Type 1 NPI

Chad Underly, L.P.N.

Licensed Practical Nurse · Grand Rapids, MI

NPI number 1962828087 Active

Practice location

1450 Leonard St NE
Grand Rapids, MI 49505-5515

Call (616) 446-5101 Map

Mailing address

2809 Porter St SW
Grandville, MI 49418-1144

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703103389 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1962828087

Chad Underly, L.P.N.'s National Provider Identifier is 1962828087, issued on Mar 13, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 13, 2014.