MRS. MAUREEN ANN VANTINE ANP NPI 1124337860

NPI Information

  • NPI: 1124337860
  • Provider Name: MRS. MAUREEN ANN VANTINE, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 RENAISSANCE CTR STE 2600
    DETROIT, MI
    ZIP 48243
  • Phone: (888) 731-8994

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NPI Details

MRS. Maureen Ann Vantine, ANP is an adult health nurse practitioner in Detroit, MI. MRS. Maureen Ann Vantine, ANP NPI is 1124337860. 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:

400 RENAISSANCE CTR STE 2600
DETROIT, MI
ZIP 48243-599
Phone: (888) 731-8994

The NPI 1124337860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Artacent wound, per square centimeter (HCPCS:Q4169)
  • Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)

The enumeration date for this NPI number is 9/29/2010 and was last updated on 8/21/2025.

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
1363LA2200XNurse PractitionerAdult HealthCNP4160MINNESOTAYes
2363LA2200XNurse PractitionerAdult HealthCOA.11871-NPOHIONo

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: 11/21/2025

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