Individual
MS. ANITA M. HENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
801 HAZEN STREET, SUITE C, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Mailing address
P.O. BOX 249, 801 HAZEN STREET, SUITE C., PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704136845
MI
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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