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NPI Code Detail

MEDICARE: MRS. CHRISTINA MARIE PELTIER FNP

MEDICARE: MRS. CHRISTINA MARIE PELTIER FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704306369MI
2385H00000XRespite CareMI
3363L00000XNurse Practitioner2020114244MI

General Provider Information

NPI Number : 1770802704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MARIE PELTIER FNP
Provider Business Mailing Address
First Line : 885 SHADY LN
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-4367
Country : US
Telephone Number : 517-960-4193
Fax Number :
Provider Business Practice Location Address
First Line : 2950 LAFRANIER RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-4918
Country : US
Telephone Number : 312-866-8274
Fax Number : 231-346-6027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2010
Last Update Date : 03/26/2023

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