LAURA MACLAM


Address: 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149
Phone: 6164981015

LAURA MACLAM (NPI# 1851886220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851886220
Entity Type Individual
Full Name LAURA MACLAM
Other Name LAURA SIEREVELD
Credential NP
Practice Address 524 Marywood Dr Ne
Grand Rapids
MI 49505-4149
Practice Telephone 6164981015
Mailing Telephone 6164981015
Enumeration Date 2018-06-27
Last Update Date 2019-10-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
4704241893 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 524 MARYWOOD DR NE
City GRAND RAPIDS
State MI
Zip Code 49505-4149

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1780051102 Mark Squeteri Social Worker 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 2015-09-02
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1457745325 Lester Anderson II Social Worker 1115 Ball Ave, Grand Rapids, MI 49505 2015-03-27
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306318498 Ashley Marie Jacobson Nurse Practitioner 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 2018-12-30
1568931673 Jennifer Lavigne Nurse Practitioner 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 2018-11-19
1609482330 Amy Manderscheid Nurse Practitioner 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 2020-09-18
1417563339 Samantha Marie Utter Nurse Practitioner 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 2020-09-16
1295343986 Elizabeth Ann Evans Nurse Practitioner 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 2020-07-19
1669098935 Andrea Lynn Giffel Nurse Practitioner 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 2020-06-22
1326672767 Andrea Patrice Sewell Nurse Practitioner 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 2020-02-25
1356971261 Sarah Marie Nava Nurse Practitioner 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 2020-01-20
1790323970 Joshua Dennis Witherspoon Nurse Practitioner 7751 Byron Center Ave Sw, Suite C, Grand Rapids, MI 49351 2019-12-18
1538705660 Mavjuda Saydazamova Nurse Practitioner 80 68th St Se, Grand Rapids, MI 49548-6980 2019-11-25
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Competitor

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City GRAND RAPIDS
Zip Code 49505

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Dataset Information

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.

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