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GREG ALLEN BOOTH VANDER WEL LPN
NPI 1023680964
Licensed Practical Nurse in Grand Rapids, MI

Active since July 12, 2021
470 BALTIMORE DR NE, GRAND RAPIDS, MI 49503(616) 726-1909 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greg Allen Booth Vander Wel Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREG ALLEN BOOTH VANDER WEL LPN (NPI 1023680964) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (4703114773) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1023680964
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameGREG ALLEN BOOTH VANDER WELCredential: LPN
Location Address470 BALTIMORE DR NEGrand Rapids, MI 49503-3934
Mailing Address470 Baltimore Dr NeGrand Rapids, MI 49503-3934 · (616) 726-1909
Phone(616) 726-1909
Sole ProprietorNo
Enumeration DateJuly 12, 2021
NPPES CertifiedJuly 12, 2021
✔ NPI 1023680964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703114773
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
470 BALTIMORE DR NE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LESLIE YVONNE REDMON REGISTERED NURSE
Registered Nurse
470 BALTIMORE DR NE
GRAND RAPIDS, MI 49503
Kent County (616) 454-4777
MISS AMANDA KAY SHUPE LPN
Licensed Practical Nurse
470 BALTIMORE DR NE
GRAND RAPIDS, MI 49503
Kent County (616) 890-8364
SHAWNETTE LYNN WYMER LPN
Licensed Practical Nurse
470 BALTIMORE DR NE
GRAND RAPIDS, MI 49503
Kent County (616) 749-0042
ALEX ANTHONY BUSHEE
Technician (Personal Care Attendant)
470 BALTIMORE DR NE
GRAND RAPIDS, MI 49503
Kent County (616) 755-4372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greg Booth Vander Wel's NPI number?

The NPI number for Greg Booth Vander Wel is 1023680964. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Greg Booth Vander Wel located?

Greg Booth Vander Wel practices at 470 Baltimore Dr NE, Grand Rapids, MI 49503. The listed phone number is (616) 726-1909.

What is Greg Booth Vander Wel's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Greg Booth Vander Wel was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.