Individual
KATELYN VAN ALLSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704285652
MI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
Update your record
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