Individual
KATHERINE PITAWANAKWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2731 PLYMOUTH RD, ANN ARBOR, MI 48105-2427
(517) 318-5889
Mailing address
2731 PLYMOUTH RD, ANN ARBOR, MI 48105-2427
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704364728
MI
363LF0000X
Family Nurse Practitioner
Primary
4704364728
MI
Other
Enumeration date
02/05/2025
Last updated
03/25/2026
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