Search › Michigan › 363LA2200X
Maureen Vantine, ANP
NPI 1124337860 · on the registry since 2010
Practice
- Address
- 400 Renaissance Ctr Ste 2600
Detroit, MI 48243 - Phone
- (888) 731-8994
- Organisation at this address
- P-Cor, Llc
Kas Mi, Llc
Aldad Medical Pc
Faith Walk, Inc.
Family Aide Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 275
Additional practice sites
- 100 Pearl St Fl 14, Hartford, CT
- 121 Washington Ave N Fl 2, Minneapolis, MN
- 1299 Farnam St Ste 300, Omaha, NE
- 1050 Sw 6th Ave Ste 1100, Portland, OR
- 1050 Sw 6th Ave Ste 1100, Portland, OR
- 1433 N Water St Ste 400, Milwaukee, WI
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
- Licence states on file
- MN, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan