Individual
MRS. LENA ANTOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, AGPCNP-BC
Contact information
Practice address
56491 BROADMOOR LN, MACOMB, MI 48042-1193
(596) 321-2240
Mailing address
56491 BROADMOOR LN, MACOMB, MI 48042-1193
(596) 321-2240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704253119
MI
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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