NPI 1619196680 · live from the CMS NPI Registry
Ann M Avery, Nurse Practitioner
Nurse Practitioner, Family in Traverse City, MI. National Provider Identifier 1619196680, active.
NPI record
| NPI | 1619196680 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3147 Logan Valley Rd, Traverse City, MI 49684 |
| Practice phone | 231-935-0668 |
| Mailing address | Po Box 57, Cedar, MI 49621 |
| Enumerated | April 25, 2007 |
| Last updated | November 2, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 4704077842 (MI) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 4704077842 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.