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

Elizabeth Vander Weide

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1609743640

Elizabeth Vander Weide is an Adult Psychiatric/Mental Health Registered Nurse in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Show map & directions

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

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X · Licence 4704406120 (MI)

Record details

NPI number1609743640
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedOctober 23, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025
Mailing address790 Fuller Ave Ne, Grand Rapids, MI 49503-1918

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