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SENIOR RESOURCES OF WEST MICHIGAN NPI 1033732987


NPI Information

NPI: 1033732987
Provider Name: SENIOR RESOURCES OF WEST MICHIGAN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

CLIA Number: 23D2267723

Address:
560 SEMINOLE RD
NORTON SHORES, MI
ZIP 49444
Phone: (231) 739-5858
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SENIOR RESOURCES OF WEST MICHIGAN is a gerontology nurse practitioner in Norton Shores, MI. SENIOR RESOURCES OF WEST MICHIGAN NPI is 1033732987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

560 SEMINOLE RD
NORTON SHORES, MI
ZIP 49444-720
Phone: (231) 739-5858

The provider's authorized official is Kimberly Joan Vazquez .
The authorized official title is Manager and has the following contact phone number (231) 737-4041.

The CLIA number assigned to this NPI record is 23D2267723 - other - see patients there home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2020 and was last updated on 4/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.