Grace Vanarendonk, RN
Registered Nurse in Fort Liberty, NC. Individual provider (NPI-1).
NPI number1114739232
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1114739232
- Entity type
- Individual (NPI-1)
- Name
- Grace Vanarendonk
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2025
- Certification date
- Jan 21, 2025
- Last updated
- Jan 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 371060 | NC | Yes |
| 163W00000X | Registered Nurse | 4704388824 | MI |
Practice location
4861 Logistics StFort Liberty, NC 28307
Phone 910-907-8827
Mailing address
314 Narwhal CtFayetteville, NC 28314-1038
Phone 231-329-8564
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Registered Nurse providers in Fort Liberty · All 304 providers in Fort Liberty
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