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Lacie L Fedewa, NP
Nurse Practitioner in Grand Rapids, Michigan
NPI 1760764732

Lacie L Fedewa is a Nurse Practitioner based in Grand Rapids, MI. Lacie L Fedewa practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Lacie L Fedewa is 1760764732 and holds a License No. 4704254325 (Michigan).

The current practice location address for Lacie L Fedewa is 3322 E Beltline Ct Ne, Grand Rapids, MI and can be reached out via phone at 616-267-7015.

Location: 3322 E Beltline Ct Ne, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760764732
Provider Name
Lacie L Fedewa
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3322 E Beltline Ct Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-267-7015
Fax Number
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3322 E Beltline Ct Ne
City
Grand Rapids
State
Michigan
Zip
49525-9480
Phone Number
616-267-7015
Fax Number
person
Provider Business Mailing Address Details
Address
3322 E Beltline Ct Ne
City
Grand Rapids
State
Michigan
Zip
49525-9480
Phone Number
616-267-7015
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704254325 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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