Nicole Holwerda, is a
Behavior Analyst based in Grand Rapids, Michigan. Nicole Holwerda is licensed to practice in Michigan (license number 7401002611) and her current practice location is
600 3 Mile Rd Nw Ste 200, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(855) 832-6727.
NPI number for Nicole Holwerda is 1134791841 and her current mailing address is 1345 W Eventide Dr Ne, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134791841.
Healthcare Provider's Profile
| Full Name | Nicole Holwerda |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 600 3 Mile Rd Nw Ste 200, Grand Rapids, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134791841
- Provider Enumeration Date: 07/13/2021
- Last Update Date: 09/06/2025
Medical Identifiers
Medical identifiers for Nicole Holwerda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134791841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 7401002611 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Holwerda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicole Holwerda, 1345 W Eventide Dr Ne, Grand Rapids, MI 49505-5765 Ph: (616) 808-6406 | Nicole Holwerda, 600 3 Mile Rd Nw Ste 200, Grand Rapids, MI 49544-1691 Ph: (855) 832-6727 |
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