Breanna Marie Vander Schaaf, RN
Registered Nurse in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1346853934
StatusActive
Last updated in NPPESAug 25, 2020
Details
- NPI
- 1346853934
- Entity type
- Individual (NPI-1)
- Name
- Breanna Marie Vander Schaaf
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2020
- Certification date
- Aug 25, 2020
- Last updated
- Aug 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704315958 | MI | Yes |
Practice location
4150 Kalamazoo Ave SeGrand Rapids, MI 49508-3605
Phone 616-913-2006
Mailing address
4150 Kalamazoo Ave SeGrand Rapids, MI 49508-3605
Phone 616-913-2006
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