Tena E Landers Nurse Practitioner
1959 E Paris Ave Se, Grand Rapids, MI 49546-6272


Tena E Landers is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1366887812. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5193950152. The primary specialty is NURSE PRACTITIONER. The organization is INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN LLC. The address is 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272. The zip code is 49546.


Tena E Landers · 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272

Nation Provider ID 1366887812
PAC ID by PECOS 5193950152
Professional Enrollment ID I20131028001979
Last Name LANDERS
First Name TENA
Middle Name E
Gender F
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Primary Specialty INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN LLC
Phone Number 6163637690
Group Practice PAC ID 6305090507
Number of Group Practice Members 4
Address 1959 E PARIS AVE SE
GRAND RAPIDS, MI 495466272
Claims Based Hospital Affiliation Claim Control Number (CCN): 230038
Legal Business Name: SPECTRUM HEALTH - BUTTERWORTH CAMPUS
Professional accepts Medicare Assignment Y
Report Quality Measures Y

street_number: 1959
route: East Paris Avenue Southeast (E Paris Ave SE)
neighborhood, political: East Paris
locality, political: Grand Rapids
admin_level_2, political: Kent County
admin_level_1, political: Michigan (MI)
country, political: United States (US)
postal_code: 49546
postal_code_suffix: 6272
types : premise
latitude: 42.9278525
longitude: -85.570569
latlng: (42.9278525, -85.570569)


Internal Medicine and Pediatrics of West Michigan LLC · Medicare Physician

Name Address Specialty
Kelly Burri 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272 NURSE PRACTITIONER
Allison Boonie 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272 NURSE PRACTITIONER
Michael App 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272 INTERNAL MEDICINE

Zip 49546 · Nurse Practitioner · Medicare Physician

Name Address Specialty
Marilyn Morgan 625 Kenmoor Ave Se, Grand Rapids, MI 49546-2395 NURSE PRACTITIONER
Barbara Opperwall 2100 Raybrook St Se, Grand Rapids, MI 49546-5783 NURSE PRACTITIONER
Luann Etcher 625 Kenmoor Ave Se, Grand Rapids, MI 49546-2395 NURSE PRACTITIONER
Amy Wolfe 625 Kenmoor Ave Se, Grand Rapids, MI 49546-2395 NURSE PRACTITIONER
Allison Boonie 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272 NURSE PRACTITIONER
Jill Paauwe 2100 Raybrook St Se, Grand Rapids, MI 49546-5783 NURSE PRACTITIONER
Timothy Glerum 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 NURSE PRACTITIONER
Kelli Hagan 2060 E Paris Ave Se, Grand Rapids, MI 49546-6113 NURSE PRACTITIONER
Phyllis Boone 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272 NURSE PRACTITIONER
Kelly Burri 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272 NURSE PRACTITIONER
Lydia Sutton 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 NURSE PRACTITIONER
June Smalec 625 Kenmoor Ave Se, Grand Rapids, MI 49546-2395 NURSE PRACTITIONER
Sarah Roy 2060 E Paris Ave Se, Grand Rapids, MI 49546-6113 NURSE PRACTITIONER
Ingrid Berdo 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272 NURSE PRACTITIONER
Elizabeth Wilson 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 NURSE PRACTITIONER
Khushpal Kaur 1959 E Paris Ave Se, Grand Rapids, MI 49546-6272 NURSE PRACTITIONER

Zip 49546 · Medicare Physician

Name Address Specialty
Susan Baker 5070 Cascade Rd Se, Grand Rapids, MI 49546-8422 EMERGENCY MEDICINE
William Rhoades 1179 E Paris Southeast, Grand Rapids, MI 49546-8373 OPHTHALMOLOGY
Craig Vander Maas 2060 E Paris Ave Se, Grand Rapids, MI 49546-6113 CLINICAL PSYCHOLOGIST
Amy Jarchow 3940 Peninsular Dr Se, Grand Rapids, MI 49546-6187 CLINICAL PSYCHOLOGIST
Donald Condit 1000 E Paris Ave Se, Grand Rapids, MI 49546-3680 ORTHOPEDIC SURGERY
Robert Kopfensteiner 3330 Claystone Sest, Grand Rapids, MI 49546-7738 CLINICAL SOCIAL WORKER
Raul Montiague 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 ANESTHESIOLOGY
Rebecca Kremsreiter 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 CERTIFIED REGISTERED NURSE ANESTHETIST
Tara Deroo 4127 Embassy Dr, Grand Rapids, MI 49546-2418 CLINICAL SOCIAL WORKER
Amy Wierda 5060 Cascade Rd Se, Grand Rapids, MI 49546-3808 CLINICAL SOCIAL WORKER
Candy Carter 2172 E Paris Ave Se, Grand Rapids, MI 49546-6106 CHIROPRACTIC
John Papp 1179 E Paris, Grand Rapids, MI 49546-3605 GASTROENTEROLOGY
Stacy Pulley 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 SPEECH LANGUAGE PATHOLOGIST
Louis Glazer 2505 E Paris Ave Se, Grand Rapids, MI 49546-6100 OPHTHALMOLOGY
Ryan Kamphuis 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 CERTIFIED REGISTERED NURSE ANESTHETIST
Emily Woodcock 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Daniel Dewitt 1000 Parchment Dr Se, Grand Rapids, MI 49546-3663 CLINICAL PSYCHOLOGIST
Steven Martin 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 CERTIFIED REGISTERED NURSE ANESTHETIST
Matthew Phinney 5747 28th Se St, Grand Rapids, MI 49546-6928 CHIROPRACTIC
David Louwsma 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 ANESTHESIOLOGY