Individual
ANITA JOY BUITENWERF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 JOHN ST, SUITE M124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Mailing address
601 JOHN ST, SUITE M124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704221193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184786774
—
MI
01
—
500C961050
BCBSM
MI
Enumeration date
12/14/2006
Last updated
10/31/2014
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