| Sue Ellen Dunham, FNP | |
|
4020 Copper Vw Ste 104, Traverse City, MI 49684 | |
| (231) 421-6921 | |
| (231) 421-7852 |
| Full Name | Sue Ellen Dunham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 4020 Copper Vw Ste 104, Traverse City, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427068790 | NPI | - | NPPES |
| 4945609-10 | Medicaid | MI | |
| 5008770670 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704082241 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Ellen Dunham, FNP 3785 Bay Rd, Saginaw, MI 48603-2433 Ph: (989) 791-2455 | Sue Ellen Dunham, FNP 4020 Copper Vw Ste 104, Traverse City, MI 49684 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 |