Nicole R Whetstone
Registered Nurse in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1124828678
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1124828678
- Entity type
- Individual (NPI-1)
- Name
- Nicole R Whetstone
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2025
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 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 | 4704401450 | MI | Yes |
Practice location
300 68th St SeGrand Rapids, MI 49548-6927
Phone 616-258-7429
Mailing address
300 68th St SeGrand Rapids, MI 49548-6927
Phone 616-258-7429
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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