Individual
KATRINA ENDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704273149
MI
163W00000X
Registered Nurse
RN65665
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
4704273149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704273149
MI LICENSE
MI
Enumeration date
01/20/2016
Last updated
11/19/2019
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