MICHELLE WITKOP NP NPI 1356425060

NPI Information

NPI: 1356425060
Provider Name: MICHELLE WITKOP, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1105 6TH ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-6520
Get Directions

Michelle Witkop, NP is a family nurse practitioner in Traverse City, MI. Michelle Witkop, NP NPI is 1356425060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1105 6TH ST
TRAVERSE CITY, MI
ZIP 49684-345
Phone: (231) 935-6520
Fax: (231) 935-9116

The enumeration date for this NPI number is 10/25/2006 and was last updated on 5/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704118876	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0N70330004	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE
2	P24420002	MEDICARE PIN	MICHIGAN
3	MW118876	OTHER	MICHIGAN	BLUE CROSS
4	104307463	MEDICAID	MICHIGAN
5	104518216	MEDICAID	MICHIGAN
6	500B814150	OTHER	MICHIGAN	BLUE CROSS GROUP PRACTICE PIN
7	S44946	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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