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

Greg Allen Booth Vander Wel, LPN

Individual provider Licensed Practical Nurse · NPI 1023680964

Greg Allen Booth Vander Wel, LPN 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
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

470 Baltimore Dr NE
Grand Rapids, MI 49503-3934
Phone: (616) 726-1909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703114773 (MI)

Record details

NPI number1023680964
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedJuly 12, 2021
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

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