Organization · Type 2 NPI

Grand Traverse Band of Ottawa and Chippewa Indians

Psychiatric/Mental Health Registered Nurse · Peshawbestown, MI

NPI number 1477227239 Active

Practice location

2300 N. Stallman Rd.
Peshawbestown, MI 49682-9275

Call (231) 534-0709 Map

Mailing address

2605 N. West Bay Shore Dr
Peshaebestown, MI 49682-9275

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	None listed

Psychiatric/Mental Health Registered Nurse: Definition to come...

NPI record

NPI: 1477227239
Entity type: Organization (Type 2)
Issued: Aug 5, 2021
Last updated: Aug 5, 2021
Status: Active
Subpart: Yes of Grand Traverse Band of Ottawa and Chippewa Indians

Other names

Grand Traverse Band Behavioral Health Services · other name

Authorized official

Mrs. Rebecca Lynn Oien, MOAM
Tribal Manager
(231) 534-7136

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477227239

Grand Traverse Band of Ottawa and Chippewa Indians's National Provider Identifier is 1477227239, issued on Aug 5, 2021. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Peshawbestown, MI. The record was last updated on Aug 5, 2021.