Individual
MRS. THERESA MARIE NESTORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP-BC
Contact information
Practice address
2200 SPRINGPORT RD, JACKSON, MI 49202-1432
(517) 784-9356
(517) 780-9286
Mailing address
2298 SPRINGPORT RD, SUITE B, JACKSON, MI 49202-1475
(517) 784-3950
(517) 783-2728
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704087445
MI
Other
Enumeration date
02/02/2009
Last updated
06/18/2009
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