Individual
COURTNEY VANDRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
5161 NORTHLAND DR NE, GRAND RAPIDS, MI 49525-1015
(616) 498-7002
Mailing address
2447 UNION AVE NE, GRAND RAPIDS, MI 49505-3659
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4704293590
MI
Other
Enumeration date
10/14/2017
Last updated
10/14/2017
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