AUTUMN VANACKER (NPI# 1124493135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124493135 |
| Entity Type | Individual |
| Full Name | AUTUMN VANACKER |
| Practice Address |
114 Briarwood Dr Prudenville MI 48651-9580 |
| Practice Telephone | 9897453151 |
| Mailing Telephone | 9897453151 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NW0100X |
General Acute Care Hospital Specialization: Women |
Hospitals |
| Street Address |
114 BRIARWOOD DR |
| City | PRUDENVILLE |
| State | MI |
| Zip Code | 48651-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469036 | Stephenie Irish | Behavior Technician | Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 | 2018-09-04 |
| 1083965404 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Drive, Prudenville, MI 48651 | 2012-09-25 |
| 1609976968 | Kronner Pharmacy Inc | Pharmacy | 778 W Houghton Lake Dr, Prudenville, MI 48651 | 2006-09-25 |
| 1255352936 | Mclaren Primary Care | Family Medicine | 200 N. Grand Ave, Prudenville, MI 48651 | 2006-07-21 |
| 1053381871 | Marvin Earl Mcelroy | Internal Medicine | 1064 W West Branch Rd, Prudenville, MI 48651 | 2006-01-24 |
| 1598390080 | Rhiannon Burch | Behavior Technician | Rise Center for Autism, 1070 W. Houghton Lake Drive, Prudenville, MI 48651 | 2020-03-05 |
| 1629357090 | Mclaren Bay Region | Nurse Practitioner | 200 Grand Ave, Prudenville, MI 48651 | 2011-08-16 |
| 1427320894 | Patricia Henning Caswell | Counselor | 1401 Short Dr., Prudenville, MI 48651-0019 | 2012-02-01 |
| 1023015104 | Suzanne A Blanchard | Nurse Practitioner | 1401 Short Drive, Prudenville, MI 48651-0019 | 2005-07-05 |
| 1023640992 | Julie Ignatowski | Speech-Language Pathologist | 847 Springwood Dr, Prudenville, MI 48651-8405 | 2020-02-10 |
| Find all providers in zip 48651 | ||||
| Taxonomy Code | 282NW0100X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Women |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619318417 | Hurley Medical Center | General Acute Care Hospital | 6155 Springdale Blvd, Grand Blanc, MI 48439-8526 | 2013-07-10 |
| 1528446549 | Mgh Family Health Center | General Acute Care Hospital | 2201 S Getty St, Muskegon, MI 49444-1207 | 2015-05-11 |
| 1265873467 | Hurley Medical Center | General Acute Care Hospital | 1 Hurley Plz, Flint, MI 48503-5902 | 2013-07-16 |
| 1841545209 | Hurley Medical Center | General Acute Care Hospital | 1 Hurley Plz, Flint, MI 48503-5902 | 2012-07-20 |
| 1023326667 | Dmc | General Acute Care Hospital | 3990 John R St, Detroit, MI 48201-2018 | 2010-09-16 |
| 1942439146 | Oakwood Hospital and Medical Center | General Acute Care Hospital | 18181 Oakwood Blvd, 126, Dearborn, MI 48124-5032 | 2009-07-08 |
| 1861621534 | Detroit Medical Center | General Acute Care Hospital | 3990 John R St, Box162, Detroit, MI 48201-2018 | 2009-07-02 |
| 1073774063 | Pontiac General Hospital & Medical Center | General Acute Care Hospital | 461 W Huron St, Pontiac, MI 48341-1601 | 2008-06-23 |
| 1619004488 | Synergy Medical Education Alliance | General Acute Care Hospital | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2007-02-27 |
| City | PRUDENVILLE |
| Zip Code | 48651 |
Please comment or provide details below to improve the information on AUTUMN VANACKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.