Individual
CAROLINE WESTOVER ANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
2122 HEALTH DR SW, WYOMING, MI 49519-9698
(616) 252-5950
(616) 252-5956
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49509-9606
(616) 252-5950
(616) 252-5956
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024169542
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
4704317854
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750669636
—
MI
Enumeration date
07/27/2011
Last updated
10/03/2018
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