Ms. Carol Ann Vanantwerp
Nurse Practitioner - Pediatrics
5629 Stadium Dr
Kalamazoo
, Michigan 49009-1952
Ms. Carol Ann Vanantwerp
Nurse Practitioner - Pediatrics
5629 Stadium Dr
Kalamazoo
, Michigan 49009-1952
(269) 341-8743
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Carol Ann Vanantwerp
- 601 John St Box 42
- Kalamazoo, MI
- Zip : 49007-5341
- Fax : (269) 341-8743
- Phone : (269) 341-7806
Second Address
- Ms. Carol Ann Vanantwerp
- 5629 Stadium Dr
- Kalamazoo, MI
- Zip : 49009-1952
- Fax : (269) 372-0698
- Phone : (269) 372-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 4704078169 | MI |
National Provider Identifier
| NPI | 1043408172 |
|---|---|
| Provider Name | Ms. Carol Ann Vanantwerp |
| First Address | Kalamazoo, MI 49007-5341 |
| Second Address | Kalamazoo, MI 49009-1952 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2007 |
| Last Update Date | 23/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1043408172 | (05) | MI |
| 500C912770 | BCBS (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.