MEDICARE: KATHLEEN V VANETTEN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704193761	MI

General Provider Information

NPI Number	:	1336352905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN V VANETTEN FNP

Provider Business Mailing Address
First Line	:	11470 WELLS RD
Second Line	:
City	:	PETERSBURG
State	:	MI
Zip	:	49270-9797
Country	:	US
Telephone Number	:	734-856-3605
Fax Number	:

Provider Business Practice Location Address
First Line	:	7443 JACKMAN RD
Second Line	:
City	:	TEMPERANCE
State	:	MI
Zip	:	48182-9223
Country	:	US
Telephone Number	:	734-850-0100
Fax Number	:	734-850-0112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1134125024 — PAMELA J HACKL DO
Practice Location Address:

7443 JACKMAN RD
TEMPERANCE, MI
48182-9223

Practice Phone: 734-850-0100
Practice Fax: 734-850-0112

1548218977 — DR. GEORGE JOOSEPH SPADER DDS
Practice Location Address:

7437 JACKMAN RD
TEMPERANCE, MI
48182-9223

Practice Phone: 734-847-1780
Practice Fax: 734-847-2080

1306030036 — PAMELA J. HACKL, D.O., PLC
Practice Location Address:

7443 JACKMAN RD
TEMPERANCE, MI
48182-9223

Practice Phone: 734-850-0100
Practice Fax: 734-850-0112

1932368339 — MRS. MARIANNE HELEN COPPENS FNP
Practice Location Address:

733 HAWKSBRIDGE CIRCLE
TEMPERANCE, MI
48182-9223

Practice Phone: 419-356-1688
Practice Fax:

1578981932 — RANDY PIERCE
Practice Location Address:

7443 JACKMAN RD
TEMPERANCE, MI
48182-9223

Practice Phone: 734-850-0100
Practice Fax: 734-850-0112

1003288457 — AMY ALTAMASH NP
Practice Location Address:

7443 JACKMAN RD
TEMPERANCE, MI
48182-9223

Practice Phone: 734-850-0100
Practice Fax: 734-850-0112

Directions to “ KATHLEEN V VANETTEN FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.