Healthcare Provider Details

I. General information

NPI: 1457162125
Provider Name (Legal Business Name): MOLLY STEENSMA COPE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 LAFAYETTE AVE SE STE 400
GRAND RAPIDS MI
49503-4693
US

IV. Provider business mailing address

6573 WHITNEYVILLE AVE SE
ALTO MI
49302-9027
US

V. Phone/Fax

Practice location:
  • Phone: 616-752-6525
  • Fax:
Mailing address:
  • Phone: 616-951-2731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704292224
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704292224
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: