Great Lakes Plastic Surgery Center in Traverse City - Nurse Practitioner
Great Lakes Plastic Surgery Center - NPI 1972795334
Great Lakes Plastic Surgery Center is a Nurse Practitioner in Traverse City, Michigan. Great Lakes Plastic Surgery Center practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Great Lakes Plastic Surgery Center is 1972795334. The last update date is 2009-08-18.
Great Lakes Plastic Surgery Center's current location address is 5085 Anna Dr, Traverse City, Michigan. You can contact this provider via phone number 2319350180 and fax number 2319350099. The mailing address for Great Lakes Plastic Surgery Center is 5085 Anna Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Great Lakes Plastic Surgery Center |
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Address | 5085 Anna Dr, Traverse City, Michigan |
Phone Number | 2319350180 |
Fax Number | 2319350099 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL BI |
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Authorized Official Name | Francis S Catherine |
Telephone Number | 2319350180 |
NPI Number Detail
NPI Number | 1972795334 |
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Provider Enumeration Date | 2007-08-09 |
Last Updated Date | 2009-08-18 |
Provider Mailing Address Detail
Address | 5085 Anna Dr |
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City | Traverse City |
State | Michigan (MI) |
Post Code | 496849691 |
Phone Number | 2319350180 |
Fax Number | 2319350099 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4301067433 | MI | STATE LICENSE | |
2402810821 | MI | BLUE CROSS BLUE SHIELD MI | |
1285614032 | MI | NPI | |
4156180 | MI | -- | |
4704192319 | MI | STATE LICENSE | |
1437139318 | MI | NPI | |
3495242 | MI | -- | |
5008762590 | MI | BLUE CROSS BLUE SHIELD MI |
Post Comment/ Review Below
What is the unique identifier code issued to Great Lakes Plastic Surgery Center by the Centers for Medicare & Medicaid Services?
The Great Lakes Plastic Surgery Center has been assigned the NPI (National Provider Identifier) 1972795334. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Great Lakes Plastic Surgery Center is physically located?
The Great Lakes Plastic Surgery Center is physically situated at the following address: 5085 Anna Dr, Traverse City, MI, 496849691.
What is Great Lakes Plastic Surgery Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Great Lakes Plastic Surgery Center's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972795334 to Great Lakes Plastic Surgery Center?
The Centers for Medicare & Medicaid Services originally issued the 1972795334 to Great Lakes Plastic Surgery Center on 2007-08-09.
As of what date was the information pertaining to Great Lakes Plastic Surgery Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Great Lakes Plastic Surgery Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-08-18.