Vandusen, Pamela

Vandusen, Pamela is an individual health care provider with primary practice located at 200 Jefferson Se , Grand Rapids MI 49503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vandusen, Pamela can be contacted via phone (616) 685-1835.

Contact Information

Primary practice address
200 Jefferson Se Grand Rapids MI 49503
Phone: (616) 685-1835
Fax: (616) 685-1846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704165365 Michigan

Profile Details

NPI number 1700832995
LBN Legal business name Vandusen, Pamela
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Apr 1st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700832995 NPPES
Michigan MEDICAID 1700832995

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