| Deanna Humphrey, FNP-C | |
|
815 Business Park Dr Ste A, Traverse City, MI 49686-8683 | |
| (231) 421-6921 | |
| Not Available |
| Full Name | Deanna Humphrey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 815 Business Park Dr Ste A, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447868153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704270713 (Michigan) | Primary |
| Entity Name | Chronic Care Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730506726 PECOS PAC ID: 7214150770 Enrollment ID: O20140602001145 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna Humphrey, FNP-C 4020 Copper Vw Ste 104, Traverse City, MI 49684-7041 Ph: (231) 421-6921 | Deanna Humphrey, FNP-C 815 Business Park Dr Ste A, Traverse City, MI 49686-8683 Ph: (231) 421-6921 |
Dr. Ariel Marie Ennis, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-3250 | |
Harriet Sue Barner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801 | |
Ms. Christine Marie Sykes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684 Phone: 231-947-1112 | |
Kellie Ann Herringa, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801 | |
Ms. Karri G Hagan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686 Phone: 231-421-6921 Fax: 231-421-7852 | |
Matthew Nathan Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 Cass St, Traverse City, MI 49684 Phone: 231-941-1155 Fax: 231-259-1005 | |
Carol Jean Sodman, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 E 8th St, Traverse City, MI 49686 Phone: 231-929-1844 Fax: 231-949-2084 |