Individual
ANGEL FAY NADEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 796-4540
(517) 796-4517
Mailing address
1126 WHITE OAK E, JACKSON, MI 49201-9547
(517) 769-4296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704306197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704306197
RN LICENSE
MI
Enumeration date
12/20/2018
Last updated
12/20/2018
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