Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adeline Maris Vannoller

Individual provider Athletic Trainer · NPI 1306655568

Adeline Maris Vannoller is an Athletic Trainer in Spring Lake, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

18288 Woodland Ridge Dr Apt 4
Spring Lake, MI 49456-9059
Phone: (231) 301-3690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 87603 (MI)

Record details

NPI number1306655568
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2025
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

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