Gina R Middlebrook in Traverse City - Nurse Practitioner
Gina R Middlebrook - NPI 1699965863
Gina R Middlebrook is a Nurse Practitioner in Traverse City, Michigan. Gina R Middlebrook practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Gina R Middlebrook is 1699965863. The last update date is 2010-01-08.
Gina R Middlebrook's current location address is 4075 Copper Ridge Dr, Traverse City, Michigan. You can contact this provider via phone number 8042894605. The mailing address for Gina R Middlebrook is 4075 Copper Ridge Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina R Middlebrook |
|---|---|
| Address | 4075 Copper Ridge Dr, Traverse City, Michigan |
| Phone Number | 8042894605 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1699965863 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2010-01-08 |
Provider Mailing Address Detail
| Address | 4075 Copper Ridge Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496843689 |
| Phone Number | 8042894605 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 24167368 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1699965863 | VA | -- |
Post Comment/ Review Below
What is the Gina R Middlebrook's 1699965863?
The Gina R Middlebrook's NPI (National Provider Identifier) Number is 1699965863. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gina R Middlebrook is physically located?
The Gina R Middlebrook is physically situated at the following address: 4075 Copper Ridge Dr, Traverse City, MI, 496843689.
What is Gina R Middlebrook's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gina R Middlebrook is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Gina R Middlebrook receive its 1699965863 assignment from the Centers for Medicare & Medicaid Services?
The Gina R Middlebrook was assigned its 1699965863 by the Centers for Medicare & Medicaid Services on 2007-07-25.
As of what date was the information regarding Gina R Middlebrook, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gina R Middlebrook, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-08.
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