MRS. AMY ELAINE KOORNDYK LPN - NPI 1699553396 - Licensed Practical Nurse in Grandville, MI

Q: What is Amy Koorndyk's NPI number?

The NPI number for Amy Koorndyk is 1699553396. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Q: What is Amy Koorndyk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Koorndyk was last updated on September 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Amy Elaine Koorndyk Lpn NPPES

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

MRS. AMY ELAINE KOORNDYK LPN (NPI 1699553396) is an individual licensed practical nurse in Grandville, Michigan, licensed in Michigan (4703098808) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1699553396

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. AMY ELAINE KOORNDYKCredential: LPN

Location Address3584 FAIRLANES AVE SWGrandville, MI 49418-1583

Mailing Address3584 Fairlanes Ave SwGrandville, MI 49418-1583

Phone(616) 222-5300

Sole ProprietorNo

Enumeration DateSeptember 15, 2023

NPPES CertifiedSeptember 15, 2023

✔ NPI 1699553396 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 · 4703098808

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.

3584 FAIRLANES AVE SW, Grandville, MI 49418

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