Individual provider · Type 1 NPI

Alisha Deponio, AGACNP-BC

Acute Care Nurse Practitioner · Traverse City, MI

NPI number 1720749344 Active

Practice location

1200 Sixth St Ste 200
Traverse City, MI 49684-2369

Fax (231) 935-5799

Other practice locations

  • 1105 Sixth St, Traverse City, MI 49684-2345 · (231) 935-5000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704284761NSA2111S (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1720749344

Alisha Deponio, AGACNP-BC's National Provider Identifier is 1720749344, issued on Jan 5, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Traverse City, MI. The record was last updated on Jun 8, 2022.