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SANDRA TIETEMIA LPN
NPI 1649612482
Licensed Practical Nurse in Muskegon, MI

Active since July 22, 2013
955 W BROADWAY AVE, MUSKEGON, MI 49441(231) 755-0637(231) 755-6208 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sandra Tietemia Lpn NPPES

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

SANDRA TIETEMIA LPN (NPI 1649612482) is an individual licensed practical nurse in Muskegon, Michigan, licensed in Michigan (4703085335) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1649612482
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSANDRA TIETEMIACredential: LPN
Location Address955 W BROADWAY AVEMuskegon, MI 49441-3521
Mailing Address2851 Monolith DrHudsonville, MI 49426-7652 · (231) 755-0637 · Fax (231) 755-6208
Phone(231) 755-0637
Fax(231) 755-6208
Sole ProprietorNo
Enumeration DateJuly 22, 2013
✔ NPI 1649612482 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 · 4703085335
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.
955 W BROADWAY AVE, Muskegon, MI 49441
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Other Providers at the Same Location NPPES 20

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

MR. JON JOSEPH FAKLER RN
Registered Nurse
955 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-0637
MR. PAUL EDWARD WOLF LPN
Licensed Practical Nurse
955 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-0637
MRS. MARY CARR LPN
Licensed Practical Nurse
955 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-0637
MR. PETER VAN DER OORD RN
Registered Nurse
955 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-0637
TERRY RICHMOND LPN
Licensed Practical Nurse
955 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-0637
MS. JANELLE LATRICEE JEETER LPN
Licensed Practical Nurse
955 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-0637
MRS. HOLLY CASSEL LPN
Licensed Practical Nurse
955 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-0637
WEST SHORE MEDICAL
Home Health
955 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-0637

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 Sandra Tietemia's NPI number?

The NPI number for Sandra Tietemia is 1649612482. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Sandra Tietemia located?

Sandra Tietemia practices at 955 W Broadway Ave, Muskegon, MI 49441. The listed phone number is (231) 755-0637.

What is Sandra Tietemia'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 Sandra Tietemia was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.