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SHAWNETTE LYNN WYMER LPN
NPI 1639762172
Licensed Practical Nurse in Grand Rapids, MI

Active since February 16, 2021
470 BALTIMORE DR NE, GRAND RAPIDS, MI 49503(616) 749-0042 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shawnette Lynn Wymer Lpn NPPES

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

SHAWNETTE LYNN WYMER LPN (NPI 1639762172) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (4703112398) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1639762172
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHAWNETTE LYNN WYMERCredential: LPN
Location Address470 BALTIMORE DR NEGrand Rapids, MI 49503-3934
Mailing Address470 Baltimore Dr NeGrand Rapids, MI 49503-3934 · (616) 749-0042
Phone(616) 749-0042
Sole ProprietorNo
Enumeration DateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1639762172 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 · 4703112398
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
GREG ALLEN BOOTH VANDER WEL LPN
Licensed Practical Nurse
470 BALTIMORE DR NE
GRAND RAPIDS, MI 49503
Kent County (616) 726-1909
MISS AMANDA KAY SHUPE LPN
Licensed Practical Nurse
470 BALTIMORE DR NE
GRAND RAPIDS, MI 49503
Kent County (616) 890-8364
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 Shawnette Wymer's NPI number?

The NPI number for Shawnette Wymer is 1639762172. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Shawnette Wymer located?

Shawnette Wymer practices at 470 Baltimore Dr NE, Grand Rapids, MI 49503. The listed phone number is (616) 749-0042.

What is Shawnette Wymer'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 Shawnette Wymer was last updated on February 16, 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.