Gaynel Nave, ND
Individual provider Active NPI Naturopath · Grand Rapids, MI
NPI 1821653403 · NPPES record last updated Jan 16, 2020
Key facts
- NPI
- 1821653403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 19-1776 (AZ)
- Practice address
- 834 Lake Dr SE
Grand Rapids, MI 49506-1479 - Phone
- (616) 855-0931
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-1776 | AZ | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 19-1776 | AZ | Yes |
Addresses
Primary practice location
834 Lake Dr SE
Grand Rapids, MI 49506-1479
Mailing address
834 Lake Dr SE
Grand Rapids, MI 49506-1479
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19-1776 | Other | AZ | NATUROPATHIC MEDICAL LICENSE |
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.