Active NPIIndividual provider

Mrs. Maureen A Vantine, ANP

Nurse Practitioner, Adult Health in Detroit, Michigan

NPI Number1124337860
Practice location
400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1599
Fax
—
Last updated
August 21, 2025

Maureen Ann Vantine is a Nurse Practitioner, Adult Health based in Detroit, MI. Maureen Ann Vantine practices in Detroit, MI and has the professional credentials of ANP. The NPI Number for Maureen Ann Vantine is 1124337860 and holds a License No. CNP4160 (MN). The current practice location address for Maureen Ann Vantine is 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1599 and can be reached out via phone at 888-731-8994.

Provider Profile Details

NPI Number
1124337860
Provider Name
Maureen Ann Vantine
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1599
Phone Number
888-731-8994
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2010
Last Update Date
August 21, 2025
Certification Date
August 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Zip
48243-1599
Phone Number
888-731-8994
Detroit, MI 48243Get directions →

Provider Business Mailing Address Details

Address
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
City
Detroit
State
MI
Zip
48243-1599
Phone Number
888-731-8994

License Information

License Number (1)
CNP4160
License State (1)
MN
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (2)
COA.11871-NP
License State (2)
OH
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Maureen A Vantine, ANP?

The NPI number of Mrs. Maureen A Vantine, ANP is 1124337860. It was assigned on September 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Maureen A Vantine, ANP?

Mrs. Maureen A Vantine, ANP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MN under license number CNP4160.

Where does Mrs. Maureen A Vantine, ANP practice?

The practice location is 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1599. The office can be reached at 888-731-8994 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124337860 directly on the NPPES registry website.

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