Individual provider · Type 1 NPI

Julie Fawaz

Neonatal Nurse Practitioner · Traverse City, MI

NPI number 1902776495 Active

Practice location

1105 Sixth St
Traverse City, MI 49684-2345

Mailing address

4212 Weatherwood Dr
Traverse City, MI 49685-9793

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X4704359435 (MI)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1902776495

Julie Fawaz's National Provider Identifier is 1902776495, issued on Nov 10, 2025. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Traverse City, MI. The record was last updated on Dec 18, 2025.