KELLY GINGRAS NURSE PRACTITIONER NPI 1679159925

NPI Information

NPI: 1679159925
Provider Name: KELLY GINGRAS, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
2600 LAFRANIER RD
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 995-6111
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Kelly Gingras, NURSE PRACTITIONER is a women's health nurse practitioner in Traverse City, MI. Kelly Gingras, NURSE PRACTITIONER NPI is 1679159925. 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:

2600 LAFRANIER RD
TRAVERSE CITY, MI
ZIP 49686-765
Phone: (231) 995-6111

The enumeration date for this NPI number is 3/18/2021 and was last updated on 3/2/2023.

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	363LW0102X	Nurse Practitioner	Women's Health	4704314487	MICHIGAN	Yes

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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