CARISSA JOHANNA VANDERWOUDE

GRAND RAPIDS, MI
NPI1285349464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704335926)
Enumeration Date2023-01-23
Last Update Date2023-04-21
Business Address
CARISSA JOHANNA VANDERWOUDE FNP
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506-2969
Phone number: 616-774-0276
Mailing Address
CARISSA JOHANNA VANDERWOUDE FNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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