Angela Vestrand, | |
32255 Northwestern Hwy Ste 196, Farmington Hills, MI 48334-1573 | |
(833) 660-0933 | |
Not Available |
Full Name | Angela Vestrand |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 32255 Northwestern Hwy Ste 196, Farmington Hills, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366970873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 4704253850 (Michigan) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 4704253850 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Oakland | Pontiac, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sjmh Medical Practice-smhc | 8628965175 | 35 |
Entity Name | Sjmh Medical Practice-smhc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770 |
Mailing Address | Practice Location Address |
---|---|
Angela Vestrand, 2360 Browning Dr, Lake Orion, MI 48360-1810 Ph: () - | Angela Vestrand, 32255 Northwestern Hwy Ste 196, Farmington Hills, MI 48334-1573 Ph: (833) 660-0933 |
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