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

Individual provider Acute Care Nurse Practitioner · NPI 1093422172

Emily Rose Vidri is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2022, 4 years ago. Practices with Nsa Pain Services of Michigan III, PLLC, a 17-clinician group and works from 4 locations. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

2680 Leonard St NE Ste 3
Grand Rapids, MI 49525-6902
Phone: (616) 317-7246
Fax: (616) 920-6540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 — (616) 685-1800
  • 310 Lafayette Ave Se Ste 300, Grand Rapids, MI 49503-4693 — (616) 685-3450
  • 1000 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-8383 — (616) 685-3460

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704319248 (MI)

Record details

NPI number1093422172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 31, 2022
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nsa Pain Services Of Michigan Iii, Pllc — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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