Individual
TERI LYNN HOLWERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8005
(616) 840-9642
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704132827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4626287
—
MI
Enumeration date
07/19/2006
Last updated
03/30/2021
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