Individual
GRACE VANARENDONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4861 LOGISTICS ST, FORT LIBERTY, NC 28307
(910) 907-8827
Mailing address
314 NARWHAL CT, FAYETTEVILLE, NC 28314-1038
(231) 329-8564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
371060
NC
163W00000X
Registered Nurse
4704388824
MI
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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