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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Family Nurse Practitioner · SARANAC, MI

Registration Details

NPI Number
1083789267
Provider Type
Organization
NPI Issued
Nov 22, 2006 (19.439656423011 yrs)
Last Updated
Jul 17, 2014
License
4704068471 (MI)

Practice Information

Address
6842 BEECHWOOD DR
SARANAC, MI, 488819667
Browse MI providers · Browse ZIP 48881
Phone
6166423607
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.