MARY CAROL VANDER WAL NP
NPI 1508092354
Nurse Practitioner - Family in Marne, MI

Q: What is Mary Vander Wal's NPI number?

The NPI number for Mary Vander Wal is 1508092354. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Q: What is Mary Vander Wal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Vander Wal was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 08, 2009

13712 32ND AVE, MARNE, MI 49435(616) 677-3633(616) 677-5330 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Carol Vander Wal Np NPPES

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

MARY CAROL VANDER WAL NP (NPI 1508092354) is an individual family provider in Marne, Michigan, licensed in Michigan (4704118232) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1508092354

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY CAROL VANDER WALCredential: NP

Location Address13712 32ND AVEMarne, MI 49435-9727

Mailing Address13712 32nd AveMarne, MI 49435-9727 · (616) 677-3633 · Fax (616) 677-5330

Phone(616) 677-3633

Fax(616) 677-5330

Sole ProprietorYes

Enumeration DateJune 8, 2009

✔ NPI 1508092354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704118232

13712 32ND AVE, Marne, MI 49435

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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 Mary Vander Wal's NPI number?

The NPI number for Mary Vander Wal is 1508092354. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Mary Vander Wal located?

Mary Vander Wal practices at 13712 32nd Ave, Marne, MI 49435. The listed phone number is (616) 677-3633.

What is Mary Vander Wal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Vander Wal was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.