Vandusen, Pamela
Vandusen, Pamela is an individual health care provider with primary practice located at 200 Jefferson Se , Grand Rapids MI 49503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vandusen, Pamela can be contacted via phone (616) 685-1835.Contact Information
Primary practice address
200 Jefferson Se
Grand Rapids MI 49503
Phone: (616) 685-1835
Fax: (616) 685-1846
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704165365 | Michigan |
Profile Details
NPI number | 1700832995 |
---|---|
LBN Legal business name | Vandusen, Pamela |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 26th, 2006 |
Last updated | Apr 1st, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700832995 | NPPES |
Michigan | MEDICAID | 1700832995 |
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