| Harbour Towne Health Pllc | |
|
131 W Seaway Dr Norton Shores MI 49444-3759 | |
| (231) 375-8065 | |
| (231) 375-8063 |
| Full Name | Harbour Towne Health Pllc |
|---|---|
| Speciality | Physician Assistant |
| Location | 131 W Seaway Dr, Norton Shores, Michigan |
| Authorized Official Name and Position | David Wilkins (OWNER) |
| Authorized Official Contact | 2313758065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbour Towne Health Pllc 131 W Seaway Dr Norton Shores MI 49444-3759 Ph: (231) 375-8065 | Harbour Towne Health Pllc 131 W Seaway Dr Norton Shores MI 49444-3759 Ph: (231) 375-8065 |
| NPI Number | 1649647876 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 04/14/2016 |
| Medicare PECOS PAC ID | 3577861749 |
|---|---|
| Medicare Enrollment ID | O20160421000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649647876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801062394 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5601002156 (Michigan) | Primary |
| Provider Name | Rafael Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487745980 PECOS PAC ID: 7416923305 Enrollment ID: I20040902000359 |
| Provider Name | Gregory A Pinnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841288693 PECOS PAC ID: 5890874655 Enrollment ID: I20080505000490 |
| Provider Name | Letizia M Charleston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386923746 PECOS PAC ID: 2961675293 Enrollment ID: I20111102000638 |
| Provider Name | Bambi A Lahaie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275751406 PECOS PAC ID: 1759605579 Enrollment ID: I20150126001676 |
| Provider Name | Eliza R Sudbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023407640 PECOS PAC ID: 0749506418 Enrollment ID: I20150225000225 |
| Provider Name | Anne C Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558608240 PECOS PAC ID: 3779873468 Enrollment ID: I20160608002242 |
| Provider Name | Therese L Boggiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699023259 PECOS PAC ID: 0749572907 Enrollment ID: I20160707002432 |
| Provider Name | Trisha King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427534726 PECOS PAC ID: 4284983370 Enrollment ID: I20180822003730 |
| Provider Name | Leah Jean Magnuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700322245 PECOS PAC ID: 2961734397 Enrollment ID: I20191104002211 |
| Provider Name | Brandy Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134731342 PECOS PAC ID: 1153786330 Enrollment ID: I20230421000778 |
| Provider Name | April Renea Lucht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336883735 PECOS PAC ID: 1456716109 Enrollment ID: I20230502001007 |
| Provider Name | Angela Marie Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639885924 PECOS PAC ID: 8325405848 Enrollment ID: I20230526001989 |
| Provider Name | Hayley Marie Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346762655 PECOS PAC ID: 9032556691 Enrollment ID: I20240319002722 |
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