Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA ANNE VANDYKE, RN
DeactivatedLISA ANNE VANDYKE, RN is a Registered Nurse healthcare provider located in GRAND RAPIDS, Michigan. NPI 1619481884 is deactivated in the NPPES registry. Verify at CMS.
Registered Nurse · GRAND RAPIDS, MI
This NPI has been deactivated.
The record was deactivated on May 22, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1619481884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2017 (0.48219178082192 yrs)
- Last Updated
- Nov 6, 2025
- Deactivated
- May 22, 2018
- License
-
4704402860 (MI)
Practice Information
- Address
-
790 FULLER AVE NEGRAND RAPIDS, MI, 495031918Browse MI providers · Browse ZIP 49503
- Phone
- 6168899162
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY KAY KANTZER | RN | 1780640193 |
| MARY DIRKSE | RN | 1881603793 |
| BRENDA MCNEIL | RN | 1699785436 |
| CYNTHIA ANN CHAMBERLAIN | RN | 1124171855 |
| MRS. TRACY LATAWNIA PRIMUS | REGISTERED NURSE | 1235281262 |
| SHELLY EVELYN WOLFROM | R.N. | 1780736637 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.