Individual
MRS. CATHERINE RAE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
3350 GRATIOT BLVD, MARYSVILLE, MI 48040-2121
(810) 364-4000
(810) 364-5995
Mailing address
3350 GRATIOT BLVD, MARYSVILLE, MI 48040-2121
(810) 364-4000
(810) 364-5995
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704231505
MI
Other
Enumeration date
01/12/2015
Last updated
05/29/2015
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