MARY CAROL VANDER WAL NP NPI 1508092354

NPI Information

NPI: 1508092354
Provider Name: MARY CAROL VANDER WAL, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
13712 32ND AVE
MARNE, MI
ZIP 49435
Phone: (616) 677-3633
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Mary Carol Vander Wal, NP is a family nurse practitioner in Marne, MI. Mary Carol Vander Wal, NP NPI is 1508092354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13712 32ND AVE
MARNE, MI
ZIP 49435-727
Phone: (616) 677-3633
Fax: (616) 677-5330

The enumeration date for this NPI number is 6/8/2009 and was last updated on 6/8/2009.

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
1	363LF0000X	Nurse Practitioner	Family	4704118232	MICHIGAN	Yes

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

NPI Synchronization or Removal

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