Mrs Kathryn Rose, WHNP | |
1200 6th St, Ste 400, Traverse City, MI 49684-2369 | |
(231) 392-0650 | |
(231) 392-0665 |
Full Name | Mrs Kathryn Rose |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 1200 6th St, 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 |
---|---|---|---|
1316164742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 4704203365 (Michigan) | Primary |
Entity Name | Grand Traverse Womens Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336194166 PECOS PAC ID: 3870584352 Enrollment ID: O20040522000177 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathryn Rose, WHNP 1200 6th St, Ste 400, Traverse City, MI 49684-2369 Ph: (231) 392-0650 | Mrs Kathryn Rose, WHNP 1200 6th St, Ste 400, Traverse City, MI 49684-2369 Ph: (231) 392-0650 |
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 |