Individual
MS. CAROL ANN NACCARATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
677 EAST MAIN STREET, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Mailing address
677 EAST MAIN STREET, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704278009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
12/16/2010
Last updated
12/16/2010
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