Individual
MRS. AHNA CAROLA FALZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1717 SHAFFER ST STE 232, KALAMAZOO, MI 49048-1674
(269) 226-5050
Mailing address
1717 SHAFFER ST STE 2, KALAMAZOO, MI 49048-1623
(269) 552-2836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704291536
MI
363L00000X
Nurse Practitioner
Primary
4704291536
MI
363LA2100X
Acute Care Nurse Practitioner
4704291536
MI
Other
Enumeration date
06/22/2017
Last updated
03/17/2018
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