IndividualActive
Jane Theriault, RN
NPI 1508126160 · Enterostomal Therapy Registered Nurse · Ann Arbor, MI
Provider details
- NPI number
- 1508126160
- Entity type
- Individual
- Primary specialty
- Enterostomal Therapy Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 4704162211 (MI)
Mailing address
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Registry dates
- Enumerated
- 2012-05-16
- Last updated
- 2013-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.