Individual
KIMBERLY A VANWINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM RN
Contact information
Practice address
109 S JACKSON ST, SPRING LAKE, MI 49456-2095
(616) 842-7406
(616) 844-7056
Mailing address
109 S JACKSON ST, SPRING LAKE, MI 49456-2095
(616) 842-7406
(616) 844-7056
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704169207
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382854385
TAX ID
MI
01
—
4208758280
BCBS
MI
01
—
P111269
BLUE CARE NETWORK
MI
Enumeration date
12/16/2006
Last updated
11/13/2024
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