IndividualActive
Elizabeth Vander Weide
NPI 1609743640 · Adult Psychiatric/Mental Health Registered Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1609743640
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sole proprietor
- Yes
- License
- 4704406120 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
790 Fuller Ave Ne
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Approximate (ZIP-level) locationGet directions
Mailing address
790 Fuller Ave Ne
Grand Rapids, MI 49503-1918
Registry dates
- Enumerated
- 2025-10-23
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.