ANDREA NICOLE WITCZAK (NPI# 1356806210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356806210 |
| Entity Type | Individual |
| Full Name | ANDREA NICOLE WITCZAK |
| Credential | RN |
| Practice Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Practice Telephone | 6169658200 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704271962 | MI | Nursing Service Providers |
| Street Address |
100 CHERRY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182894 | Mary P Chelsky | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2006-02-10 |
| 1043837925 | Mawada Osman | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2020-06-26 |
| 1922637651 | Dominic Reihl | Student in an Organized Health Care Education/Training Program | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2020-04-04 |
| 1578108155 | Susan Jean Hutson | Dental Assistant | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-11-07 |
| 1639711013 | Kelsey Renee Butcher | Registered Nurse | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-10-17 |
| 1912551219 | Mallory Anderson | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-25 |
| 1669025888 | Rachel Owen | Nurse Practitioner | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-17 |
| 1255993481 | Nicholae Brown | Dentist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-09 |
| 1659931020 | Maria E Sicco | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-06-18 |
| 1245894385 | Allison Lynn-yung Vankampen | Social Worker | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152262 | Krishanda Marie Mckeown | Registered Nurse | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2020-10-22 |
| 1962051359 | Melissa Sue Brusacoram | Registered Nurse | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2019-09-09 |
| 1518424787 | Laura Katona | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2019-02-25 |
| 1326518176 | Susan Marie Jarchow | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-12-04 |
| 1386126878 | Amanda Harris | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-08-31 |
| 1124507843 | Monique Kean | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-08-13 |
| 1952895047 | Christy Ann Vanhoven | Registered Nurse | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-06-21 |
| 1164916243 | Dianne Fox | Registered Nurse | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-06-21 |
| 1225521321 | Eric Lund | Registered Nurse | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-06-13 |
| 1790278935 | Amanda Stout | Registered Nurse | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-06-12 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on ANDREA NICOLE WITCZAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.