GRAND VALLEY STATE UNIVERSITY NPI 1518019223

NPI Information

  • NPI: 1518019223
  • Provider Name: GRAND VALLEY STATE UNIVERSITY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Other Name: GVSU FAMILY HEALTH CENTER
  • Address: 72 SHELDON BLVD SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 988-8774

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NPI Details

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 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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