Individual
TSANA NITOWAUKIA MATTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7654
Mailing address
13633 8 1/2 MILE RD, BATTLE CREEK, MI 49014-7527
(269) 832-6187
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
100630
WI
363LA2100X
Acute Care Nurse Practitioner
14191
WI
363LA2100X
Acute Care Nurse Practitioner
4704300999
MI
Other
Enumeration date
03/14/2019
Last updated
07/15/2024
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