MS. CAROL ANN VANANTWERP PNP NPI 1043408172

NPI Information

NPI: 1043408172
Provider Name: MS. CAROL ANN VANANTWERP, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
5629 STADIUM DR
KALAMAZOO, MI
ZIP 49009
Phone: (269) 372-1000
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MS. Carol Ann Vanantwerp, PNP is a pediatrics nurse practitioner in Kalamazoo, MI. MS. Carol Ann Vanantwerp, PNP NPI is 1043408172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5629 STADIUM DR
KALAMAZOO, MI
ZIP 49009-952
Phone: (269) 372-1000
Fax: (269) 372-0698

The enumeration date for this NPI number is 10/15/2007 and was last updated on 9/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	4704078169	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500C912770	OTHER	MICHIGAN	BCBS
2	1043408172	MEDICAID	MICHIGAN
3	M97850014	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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