MRS. ASHLEY DAWN BRUURSEMA NNP-BC NPI 1164184834

NPI Information

NPI: 1164184834
Provider Name: MRS. ASHLEY DAWN BRUURSEMA, NNP-BC
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

PECOS Registration: Yes

Address:
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 486-6790
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MRS. Ashley Dawn Bruursema, NNP-BC is a neonatal and critical care nurse practitioner in Grand Rapids, MI. MRS. Ashley Dawn Bruursema, NNP-BC NPI is 1164184834. 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:

100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI
ZIP 49503-560
Phone: (616) 486-6790

The NPI 1164184834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2021 and was last updated on 1/12/2022.

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
1	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	4704295171	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: 4/28/2024

NPI Synchronization or Removal

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