Carol Ann Vanantwerp in Kalamazoo - Pediatrics

Carol Ann Vanantwerp - NPI 1043408172

Carol Ann Vanantwerp is a Pediatrics in Kalamazoo, Michigan. Carol Ann Vanantwerp practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Carol Ann Vanantwerp is 1043408172. The last update date is 2008-09-23.

Carol Ann Vanantwerp's current location address is 5629 Stadium Dr, Kalamazoo, Michigan. You can contact this provider via phone number 2693721000 and fax number 2693720698. The mailing address for Carol Ann Vanantwerp is 5629 Stadium Dr, Kalamazoo, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Ann Vanantwerp
Address 5629 Stadium Dr, Kalamazoo, Michigan
Phone Number 2693721000
Fax Number 2693720698
Sole Proprietor N
Credentials PNP

NPI Number Detail

NPI Number 1043408172
Provider Enumeration Date 2007-10-15
Last Updated Date 2008-09-23

Provider Mailing Address Detail

Address 5629 Stadium Dr
City Kalamazoo
State Michigan (MI)
Post Code 490091952
Phone Number 2693721000
Fax Number 2693720698

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 4704078169
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500C912770 MI BCBS
1043408172 MI --

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FAQs about Carol Ann Vanantwerp

What is the Carol Ann Vanantwerp's 1043408172?

The Carol Ann Vanantwerp's NPI (National Provider Identifier) Number is 1043408172. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Carol Ann Vanantwerp's facilities are situated?

The facilities of Carol Ann Vanantwerp are physically located at the following address: 5629 Stadium Dr, Kalamazoo, MI, 490091952.

What is Carol Ann Vanantwerp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carol Ann Vanantwerp's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.

On what date did the Carol Ann Vanantwerp receive its 1043408172 assignment from the Centers for Medicare & Medicaid Services?

The Carol Ann Vanantwerp was assigned its 1043408172 by the Centers for Medicare & Medicaid Services on 2007-10-15.

As of what date were the details pertaining to Carol Ann Vanantwerp last refreshed?

The information related to the Carol Ann Vanantwerp, including its address, specialty, and other relevant details, was last updated on 2008-09-23.

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