Paul Dieleman
Nurse Practitioner - Psychiatric/Mental Health
1131 Ionia Ave Nw
Grand Rapids
, Michigan 49503-1020
Paul Dieleman
Nurse Practitioner - Psychiatric/Mental Health
1131 Ionia Ave Nw
Grand Rapids
, Michigan 49503-1020
(616) 259-7909
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Paul Dieleman
- 1131 Ionia Ave Nw
- Grand Rapids, MI
- Zip : 49503-1020
- Fax : (616) 259-7909
- Phone : (616) 259-7900
Second Address
- Paul Dieleman
- 1131 Ionia Ave Nw
- Grand Rapids, MI
- Zip : 49503-1020
- Fax : (616) 259-7909
- Phone : (616) 259-7900
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 4704247208 | MI |
National Provider Identifier
| NPI | 1003263450 |
|---|---|
| Provider Name | Paul Dieleman |
| First Address | Grand Rapids, MI 49503-1020 |
| Second Address | Grand Rapids, MI 49503-1020 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2016 |
| Last Update Date | 19/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.