Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vintage Specialized Services LLC

Organization Family Nurse Practitioner · NPI 1366002073

Vintage Specialized Services LLC is a Family Nurse Practitioner in Rives Junction, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2055 Perrine Rd
Rives Junction, MI 49277-9735
Phone: (517) 574-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1366002073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latoshia Baruti — Administrator · (517) 574-2401
NPI enumeratedJune 14, 2019
Last updated in NPPESJune 14, 2019
Mailing address207 E Bellevue St, Leslie, MI 49251-9373