Healthcare Provider Details

I. General information

NPI: 1679484331
Provider Name (Legal Business Name): ANDREA SPRINGETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4133 BLAIR ST
HUDSONVILLE MI
49426-9343
US

IV. Provider business mailing address

4133 BLAIR ST
HUDSONVILLE MI
49426-9343
US

V. Phone/Fax

Practice location:
  • Phone: 269-217-1461
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number4704285416
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: