Provider Demographics
NPI:1033481684
Name:ROSE-KRATZ, ANGELA J (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:J
Last Name:ROSE-KRATZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:405 US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:NEGAUNEE
Mailing Address - State:MI
Mailing Address - Zip Code:49866-1327
Mailing Address - Country:US
Mailing Address - Phone:906-475-6312
Mailing Address - Fax:906-475-0257
Practice Address - Street 1:1414 W FAIR AVE
Practice Address - Street 2:SUITE 249
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-2675
Practice Address - Country:US
Practice Address - Phone:906-225-3333
Practice Address - Fax:906-225-3788
Is Sole Proprietor?:No
Enumeration Date:2012-01-28
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704247086363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily