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Individual

MRS. KATIE A PADGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
G3373 S SAGINAW ST, BURTON, MI 48529-1244
(810) 257-3315
Mailing address
8950 S DURAND RD, DURAND, MI 48429-9469
(989) 305-7917

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704350243
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704350243
RN LICENSE NUMBER
MI
Enumeration date
03/08/2022
Last updated
03/08/2022
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