HEIDI LYNNE DATEMA LPN NPI 1982225538

NPI Information

  • NPI: 1982225538
  • Provider Name: HEIDI LYNNE DATEMA, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 4499 SUMMIT FOREST DR NE
    ROCKFORD, MI
    ZIP 49341
  • Phone: (847) 302-6995

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NPI Details

Heidi Lynne Datema, LPN is a licensed practical nurse in Rockford, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Heidi Lynne Datema, LPN NPI is 1982225538. 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:

4499 SUMMIT FOREST DR NE
ROCKFORD, MI
ZIP 49341-842
Phone: (847) 302-6995

The enumeration date for this NPI number is 5/5/2020 and was last updated on 5/5/2020.

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
1164W00000XLicensed Practical Nurse4703110270MICHIGANYes

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: 11/21/2025

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