PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN NPI 1174610406

NPI Information

NPI: 1174610406
Provider Name: PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Organization

Specialization: Obstetrics & Gynecology

Address:
425 CHERRY STREET SE
MARTIN/IRWIN CENTERS
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 774-7005
Get Directions

PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN is an obstetrics and gynecology nurse practitioner in Grand Rapids, MI. PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN NPI is 1174610406. The provider is registered as an organization entity type.

The provider's business location address is:

425 CHERRY STREET SE
MARTIN/IRWIN CENTERS
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 774-7005
Fax: (616) 774-0516

The provider's authorized official is Vanessa Edwards .
The authorized official title is Regional Manager and has the following contact phone number (616) 774-7005.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 2/4/2014.

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	Primary
1	261QA0005X	Clinic/Center	Ambulatory Family Planning Facility	No
2	332900000X	Non-Pharmacy Dispensing Site		No
3	363AM0700X	Physician Assistant	Medical	No
4	207VG0400X	Obstetrics & Gynecology	Gynecology	No
5	207V00000X	Obstetrics & Gynecology		No
6	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	234541789	MEDICAID	MICHIGAN

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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