Marie Lynne Van Til, DNP
Nurse Anesthetist, Certified Registered in Cadillac, MI. Individual provider (NPI-1).
NPI number1548043128
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1548043128
- Entity type
- Individual (NPI-1)
- Name
- Marie Lynne Van Til
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 160015 | MI | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 4704308724 | MI | |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 359141 | NC |
Practice location
400 Hobart StCadillac, MI 49601-2331
Phone 231-876-7200
Mailing address
1363 Sandy Run DrHolland, MI 49424-5310
Phone 616-566-9779
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.
Other Certified Registered Nurse Anesthetist providers in Cadillac, MI
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.