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MR. BRADLEY ALLEN VANDERHULST LPN
NPI 1043800170
Licensed Practical Nurse in Muskegon, MI

Active since January 22, 2021
1713 7TH ST, MUSKEGON, MI 49441(231) 726-1214 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2021, Apr 13, 2021, Jan 22, 2021 (3 updates tracked since 2021).

About Mr. Bradley Allen Vanderhulst Lpn NPPES

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

MR. BRADLEY ALLEN VANDERHULST LPN (NPI 1043800170) is an individual licensed practical nurse in Muskegon, Michigan, licensed in Michigan (4703111898) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1043800170
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. BRADLEY ALLEN VANDERHULSTCredential: LPN
Location Address1713 7TH STMuskegon, MI 49441-2426
Mailing Address960 Wolf River Ct NwWalker, MI 49534-3460 · (616) 644-2084
Phone(231) 726-1214
Sole ProprietorYes
Enumeration DateJanuary 22, 2021
Last NPPES UpdateNovember 4, 20213 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1043800170 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 · 4703111898
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.
1713 7TH ST, Muskegon, MI 49441
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Other Identifiers 1

Other4703111898MI · Lara

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.

VICKI DAVIS LPN
Licensed Practical Nurse
1713 7TH ST
MUSKEGON, MI 49441
Muskegon County (231) 726-4735
GINA GARTON BSN RN
Registered Nurse (Addiction (Substance Use Disorder))
1713 7TH ST
MUSKEGON, MI 49441
Muskegon County (616) 456-1443
CATHOLIC CHARITIES WEST MICHIGAN
Substance Abuse Rehabilitation Facility
1713 7TH ST
MUSKEGON, MI 49441
Muskegon County (231) 726-4735
HOLSEY JAMES II
Peer Specialist
1713 7TH ST
MUSKEGON, MI 49441
Muskegon County (231) 260-3196

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 Bradley Vanderhulst's NPI number?

The NPI number for Bradley Vanderhulst is 1043800170. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Bradley Vanderhulst located?

Bradley Vanderhulst practices at 1713 7th St, Muskegon, MI 49441. The listed phone number is (231) 726-1214.

What is Bradley Vanderhulst'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 Bradley Vanderhulst was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.