Individual
DANA VITANOVSKI-PETROVSKI
Active
Individual
DANA VITANOVSKI-PETROVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704269062
MI
363L00000X
Nurse Practitioner
4704269062
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704269062
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0861925
BCBSM PIN
MI
01
—
0F37550
BCBSM GROUP PIN
MI
01
—
0F38769
BCBSM GROUP NP PIN
MI
05
—
1043562085
—
MI
Enumeration date
10/15/2012
Last updated
08/15/2024
Update your record
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