Susan B Tuttle in Traverse City - Nurse Practitioner

Susan B Tuttle - NPI 1063635530

Susan B Tuttle is a Nurse Practitioner in Traverse City, Michigan. Susan B Tuttle practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan B Tuttle is 1063635530. The last update date is 2007-07-08.

Susan B Tuttle's current location address is 1221 6th St, Traverse City, Michigan. You can contact this provider via phone number 2319355730 and fax number 2319355736. The mailing address for Susan B Tuttle is 1221 6th St, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan B Tuttle
Address 1221 6th St, Traverse City, Michigan
Phone Number 2319355730
Fax Number 2319355736
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1063635530
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1221 6th St
City Traverse City
State Michigan (MI)
Post Code 496842359
Phone Number 2319355730
Fax Number 2319355736

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 4704123270
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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FAQs about Susan B Tuttle

What is the unique provider identifier assigned to Susan B Tuttle?

The Susan B Tuttle has been issued the NPI (National Provider Identifier) 1063635530 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Susan B Tuttle is physically located?

The Susan B Tuttle is situated at the following address: 1221 6Th St, Traverse City, MI 496842359.

What is Susan B Tuttle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Susan B Tuttle's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

On what date did Susan B Tuttle receive its 1063635530 assignment from the Centers for Medicare & Medicaid Services?

The Susan B Tuttle was assigned its 1063635530 on 2007-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Susan B Tuttle most recently updated or revised?

The details related to Susan B Tuttle, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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