Individual
ANGELA KRISTY VETTRAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
946 BOSHAW DR, ATTICA, MI 48412-9408
(810) 986-2314
Mailing address
946 BOSHAW DR, ATTICA, MI 48412-9408
(181) 098-6231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704232816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704232816
NURSING LICENSE NUMBER
MI
Enumeration date
11/12/2021
Last updated
11/12/2021
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