NPI 1013423862

Kwanyah Seawood Sandifer

Practitioner Licensed Practical Nurse Grand Rapids, MI

Practice location

Address: 1490 E Beltline Ave SE, Grand Rapids, MI 49506-4336
Phone: (616) 940-0040

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703096129 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1013423862
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2017
Record last updated: 15 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.