Healthcare Provider Details

I. General information

NPI: 1861459059
Provider Name (Legal Business Name): ANN L TRUAX NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 S CHESTNUT ST
REED CITY MI
49677-1205
US

IV. Provider business mailing address

PO BOX 87
CADILLAC MI
49601-0087
US

V. Phone/Fax

Practice location:
  • Phone: 231-832-9488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704174036
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: