Individual
PATRICIA S. WIITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6430
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704087002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008770380
BCBS
MI
Enumeration date
05/21/2007
Last updated
05/25/2012
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