| 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 | 9 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 |
|---|---|---|
| Michigan Healthcare Professionals Pc | 0345413258 | 463 |
| Sjmh Medical Practice-smhc | 8628965175 | 26 |
| 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 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| 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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