Mrs Carol Jane Vandergraaf, RN - Registered Nurse in Wyoming, MI

Mrs Carol Jane Vandergraaf, RN is a Registered Nurse based in Wyoming, Michigan. Mrs Carol Jane Vandergraaf is licensed to practice in Michigan (license number 4704102068) and her current practice location is 4173 Emma Ave Sw, Wyoming, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 570-3628.

NPI number for Mrs Carol Jane Vandergraaf is 1376107037 and her current mailing address is 4173 Emma Ave Sw, Wyoming, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376107037.

Contact Information

Mrs Carol Jane Vandergraaf, RN
4173 Emma Ave Sw,
Wyoming, MI 49509-4391
(616) 570-3628
Not Available

Map and Direction




Provider's Profile

Full NameMrs Carol Jane Vandergraaf
GenderFemale
SpecialityRegistered Nurse
Location4173 Emma Ave Sw, Wyoming, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376107037
  • Provider Enumeration Date: 04/29/2019
  • Last Update Date: 04/29/2019

Medical Identifiers

Medical identifiers for Mrs Carol Jane Vandergraaf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376107037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704102068 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carol Jane Vandergraaf is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Carol Jane Vandergraaf, RN
4173 Emma Ave Sw,
Wyoming, MI 49509-4391

Ph: (616) 570-3628
Mrs Carol Jane Vandergraaf, RN
4173 Emma Ave Sw,
Wyoming, MI 49509-4391

Ph: (616) 570-3628

Reviews and Comments


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