Individual
MS. LISA ANNE ONDERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
382 N 120TH AVE, HOLLAND, MI 49424-2169
(616) 396-6516
(616) 396-2513
Mailing address
382 120TH AVE, HOLLAND, MI 49424-2169
(616) 396-6516
(616) 396-2513
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704288316
MI
363LG0600X
Gerontology Nurse Practitioner
4704288316
MI
Other
Enumeration date
10/05/2016
Last updated
10/12/2022
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