person
Kathleen Sue Van Til, NP
Family Nurse Practitioner in Holland, Michigan
NPI 1710224019

Kathleen Sue Van Til is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Kathleen Sue Van Til practices in Holland, MI and has the professional credentials of NP. The NPI Number for Kathleen Sue Van Til is 1710224019 and holds a License No. 4704151536 (Michigan).

The current practice location address for Kathleen Sue Van Til is 588 E Lakewood Blvd, Holland, MI and can be reached out via phone at 616-494-5810 and via fax at 616-494-5901. You can also correspond with Kathleen Sue Van Til through the mailing address at 100 MICHIGAN ST NE, GRAND RAPIDS, MI - 49503-2560 (mailing address contact number: ).

Location: 588 E Lakewood Blvd, Holland, MI, 49503-2560
person
Provider Profile Details
NPI Number
1710224019
Provider Name
Kathleen Sue Van Til
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
588 E Lakewood Blvd, Holland, MI, 49503-2560
Phone Number
616-494-5810
Fax Number
616-494-5901
Provider Enumeration Date
01/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
588 E Lakewood Blvd
City
State
Zip
49424-2023
Phone Number
616-494-5810
Fax Number
616-494-5901
person
Provider Business Mailing Address Details
Address
100 Michigan St Ne
City
State
Zip
49503-2560
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704151536 (Michigan)
Definition
Definition to come...
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