Vanklootwyk, Michelle

Vanklootwyk, Michelle is an individual health care provider with primary practice located at 310 N 10Th St , Bismarck ND 58501-4516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vanklootwyk, Michelle can be contacted via phone (701) 530-7500.

Contact Information

Primary practice address
310 N 10Th St Bismarck ND 58501-4516
Fax: (701) 530-7484
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R24735 North Dakota

Profile Details

NPI number 1053411066
LBN Legal business name Vanklootwyk, Michelle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Mar 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053411066 NPPES
Other 1053411066 NPI
Other P00209027 NPI

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