Individual
LUCILLE YURKO VANDERWOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2100 RAYBROOK ST SE STE 100, GRAND RAPIDS, MI 49546-5782
(616) 235-5101
Mailing address
8214 PFEIFFER FARMS DR SW, BYRON CENTER, MI 49315-8288
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704318801
MI
363LP2300X
Primary Care Nurse Practitioner
4704318801
MI
Other
Enumeration date
08/31/2020
Last updated
02/15/2023
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