Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 4704147233 | MI |
NPI | 1003096272 |
---|---|
Provider Name | Ms. Ann G. Cane |
First Address | White Lake, MI 48386-3727 |
Second Address | Cadillac, MI 49601-2588 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2007 |
Last Update Date | 21/12/2021 |