GRAND VALLEY STATE UNIVERSITY NPI 1518019223

NPI Information

GRAND VALLEY STATE UNIVERSITY is a family nurse practitioner in Grand Rapids, MI. GRAND VALLEY STATE UNIVERSITY NPI is 1518019223. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Gvsu Family Health Center.

The provider's business location address is:

72 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503-234
Phone: (616) 988-8774
Fax: (616) 988-8775

The provider's authorized official is Ruthann Brintnall .
The authorized official title is Associate Dean. Director and has the following contact phone number (616) 331-3338.

The CLIA number assigned to this NPI record is 23D0957129 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/16/2007 and was last updated on 11/16/2010.

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:

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.