Organization · Type 2 NPI

Cardiothoracic Surgeons

Nurse Practitioner · Traverse City, MI

NPI number 1093838633 Active

Practice location

1221 6th St, Suite 202
Traverse City, MI 49684-2359

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704123270 (MI)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093838633

Cardiothoracic Surgeons's National Provider Identifier is 1093838633, issued on Apr 9, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Traverse City, MI. The record was last updated on Aug 22, 2020.