Individual
CARRIE BANGHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 966-2844
Mailing address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 966-2844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704237543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704237543
LICENSE NUMBER
MI
Enumeration date
12/29/2017
Last updated
12/29/2017
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