Juton Hanks
Individual provider Active NPI Case Management Registered Nurse · Kalamazoo, MI
NPI 1427668482 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1427668482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 4704343546 (MI)
- Practice address
- 615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501 - Phone
- (269) 373-6000
- Fax
- (269) 373-4951
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704343546 | MI | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 4704343546 | MI | Yes |
Addresses
Primary practice location
615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Mailing address
3310 Clubhouse CT
Kalamazoo, MI 49009-7808
Other providers in Kalamazoo, MI
- Sarah Marian Handlogten
- Joshua Hanenburg
- Hanger Prosthetics & Orthotics East Inc
- Mitchell Hankerd
- Charles Henry Hanks III
- Lorraine D. Hanna
- Jane Hanneken
- Mary Carol Hannon
- Jessica Hansen-Vanabel
- Caitlin Hansen
All providers in Kalamazoo, MI · Case Management Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.