Healthcare Provider Details

I. General information

NPI: 1871692640
Provider Name (Legal Business Name): DAWN ZUIDGEEST-CRAFT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN EILEEN HEMLEB

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 FARR RD
FRUITPORT MI
49415-8779
US

IV. Provider business mailing address

3443 FARR RD
FRUITPORT MI
49415-8779
US

V. Phone/Fax

Practice location:
  • Phone: 231-672-2900
  • Fax:
Mailing address:
  • Phone: 231-672-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number4704113673
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704113673
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number4704113673
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: