Individual
KAITLYN HILLARY MARIE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3327
(734) 712-5525
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
4704317193
MI
363LN0000X
Neonatal Nurse Practitioner
4704317193
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APRNCNP0030061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465728
—
OH
Enumeration date
08/30/2021
Last updated
12/09/2022
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