SearchMichiganLicensed Practical Nurse

Greg Booth Vander Wel, LPN

NPI 1023680964 · on the registry since 2021

Practice

Address
470 Baltimore Dr Ne
Grand Rapids, MI 49503
Phone
(616) 726-1909
Clinicians at this address
5

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan