Individual
CATHY LORRAINE BUITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36823 THINBARK ST, WAYNE, MI 48184-1138
(734) 721-3754
Mailing address
36823 THINBARK ST, WAYNE, MI 48184-1138
(734) 721-3754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704188712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4721740
—
MI
Enumeration date
11/07/2006
Last updated
01/17/2009
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