Individual
ELIZABETH DEMAAGD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 267-1090
Mailing address
1045 GRISWOLD ST SE, GRAND RAPIDS, MI 49507-3810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20173648
MI
363LP0200X
Pediatric Nurse Practitioner
20173648
MI
Other
Enumeration date
10/09/2017
Last updated
02/20/2026
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