Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA VANMAELE, CPNP
ActiveLISA VANMAELE, CPNP is a Nurse Practitioner healthcare provider located in FORT GRATIOT, Michigan. NPI 1841628633 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · FORT GRATIOT, MI
Registration Details
- NPI Number
- 1841628633
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2013 (12.832796594564 yrs)
- Last Updated
- Apr 8, 2021
- License
-
4704155720 (MI)
Practice Information
- Address
-
4190 24TH AVE STE 204FORT GRATIOT, MI, 480593884Browse MI providers · Browse ZIP 48059
- Phone
- 8102161000
- Fax
- 8102163138
- Primary Specialty
-
Nurse Practitioner
363L00000X
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.