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

Amy Vandenbos

Individual provider Licensed Practical Nurse · NPI 1063004869

Amy Vandenbos is a Licensed Practical Nurse in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

1500 E Beltline Ave SE
Grand Rapids, MI 49506-4361
Phone: (855) 407-7575
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703092398 (MI)

Record details

NPI number1063004869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address1500 E Beltline Ave Se, Grand Rapids, MI 49506-4361

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