Individual
MISS ANN TRACY PURULESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 499-9443
Mailing address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 499-9443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704309585
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704309585
RN LICENSE
MI
Enumeration date
07/20/2022
Last updated
07/20/2022
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