Healthcare Provider Details

I. General information

NPI: 1497510952
Provider Name (Legal Business Name): PRESLEIGH YOVICH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 OSBORN BLVD STE 160
SAULT SAINTE MARIE MI
49783-2071
US

IV. Provider business mailing address

4000 WELLNESS DR
MIDLAND MI
48670-2000
US

V. Phone/Fax

Practice location:
  • Phone: 906-635-4401
  • Fax: 906-632-5809
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704352570
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: