PAMELA VANDUSEN NP
NPI 1700832995
Nurse Practitioner - Family in Grand Rapids, MI

Active since May 26, 2006
200 JEFFERSON SE, GRAND RAPIDS, MI 49503(616) 685-1835(616) 685-1846 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pamela Vandusen Np NPPES

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

PAMELA VANDUSEN NP (NPI 1700832995) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704165365) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1700832995
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAMELA VANDUSENCredential: NP
Location Address200 JEFFERSON SEGrand Rapids, MI 49503
Mailing Address1900 44th St SeKentwood, MI 49508 · (616) 965-8200
Fax(616) 685-1846
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 1, 2014
NPI 1700832995 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 · 4704165365
200 JEFFERSON SE, Grand Rapids, MI 49503

Other Identifiers 3

Medicare PINM53750085MI
Medicaid1700832995MI
Medicare PINMI3233393MI

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.

Nurse Practitioner (Adult Health)
200 JEFFERSON SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
200 JEFFERSON SE
GRAND RAPIDS, MI 49503
Radiology (Diagnostic Radiology)
200 JEFFERSON SE
GRAND RAPIDS, MI 49503
Pathology (Anatomic Pathology & Clinical Pathology)
200 JEFFERSON SE, ST MARYS HEALTH SERVICE PATHOLOGY DEPT
GRAND RAPIDS, MI 49503
Internal Medicine
200 JEFFERSON SE, STE 626
GRAND RAPIDS, MI 49503
Internal Medicine
200 JEFFERSON SE
GRAND RAPIDS, MI 49503
Radiology (Diagnostic Radiology)
200 JEFFERSON SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON SE
GRAND RAPIDS, MI 49503

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 Pamela Vandusen's NPI number?

The NPI number for Pamela Vandusen is 1700832995. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Pamela Vandusen located?

Pamela Vandusen practices at 200 Jefferson SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-1835.

What is Pamela Vandusen'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 Pamela Vandusen was last updated on April 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.