Individual
KATHLEEN V VANETTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7443 JACKMAN RD, TEMPERANCE, MI 48182-9223
(734) 850-0100
(734) 850-0112
Mailing address
11470 WELLS RD, PETERSBURG, MI 49270-9797
(734) 856-3605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704193761
MI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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