IndividualActive
Alisyn Vanderwal, DNP, RN, ACNS-BC, CE
NPI 1548812423 · Adult Health Clinical Nurse Specialist · Pontiac, MI
Provider details
- NPI number
- 1548812423
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, RN, ACNS-BC, CE
- Sex
- Female
- Sole proprietor
- No
- License
- 4704237212 (MI)
Mailing address
504 Fairgrove Ave
Royal Oak, MI 48067-1805
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2019-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.