Individual
MRS. SARAH KOOP VANDEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
970 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3662
(717) 843-6663
Mailing address
970 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3662
(616) 949-4840
(616) 949-3531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704255877
MI
363LF0000X
Family Nurse Practitioner
R160912
MD
363LF0000X
Family Nurse Practitioner
SP008691
PA
Other
Enumeration date
09/18/2005
Last updated
02/18/2025
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