Provider Demographics
NPI:1003096272
Name:CANE, ANN G (NP-C)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:G
Last Name:CANE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:GERTRUDE
Other - Last Name:CANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:10746 BOGIE LAKE
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-3727
Mailing Address - Country:US
Mailing Address - Phone:734-751-2293
Mailing Address - Fax:231-745-5031
Practice Address - Street 1:520 COBB ST
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-2588
Practice Address - Country:US
Practice Address - Phone:231-775-6521
Practice Address - Fax:231-876-6519
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704147233363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health