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

Olivia Grace Carpenter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104612589

Olivia Grace Carpenter is a Student in an Organized Health Care Education/Training Program in Wyoming, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone: (616) 252-7200
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 5151017191 (MI)

Record details

NPI number1104612589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address5900 Byron Center Ave Sw, Wyoming, MI 49519-9606

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