VINTAGE SPECIALIZED SERVICES LLC NPI 1366002073

NPI Information

  • NPI: 1366002073
  • Provider Name: VINTAGE SPECIALIZED SERVICES LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 2055 PERRINE RD
    RIVES JUNCTION, MI
    ZIP 49277
  • Phone: (517) 574-2401

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NPI Details

VINTAGE SPECIALIZED SERVICES LLC is a family nurse practitioner in Rives Junction, MI. VINTAGE SPECIALIZED SERVICES LLC NPI is 1366002073. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2055 PERRINE RD
RIVES JUNCTION, MI
ZIP 49277-735
Phone: (517) 574-2401

The provider's authorized official is Latoshia Lynn Baruti .
The authorized official title is Administrator and has the following contact phone number (517) 574-2401.

The enumeration date for this NPI number is 6/14/2019 and was last updated on 6/14/2019.

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
1363LF0000XNurse PractitionerFamilyYes

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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