Organization · Type 2 NPI

Vintage Specialized Services LLC

Family Nurse Practitioner · Rives Junction, MI

NPI number 1366002073 Active

Practice location

2055 Perrine Rd
Rives Junction, MI 49277-9735

Call (517) 574-2401 Map

Mailing address

207 E Bellevue St
Leslie, MI 49251-9373

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

About NPI 1366002073

Vintage Specialized Services LLC's National Provider Identifier is 1366002073, issued on Jun 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rives Junction, MI. The record was last updated on Jun 14, 2019.