# MICKKI RENAE TEMPLEMAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356371777
- **Gender:** F
- **Credential:** CFNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704184401 | MI | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1010137 | MCLAREN HEALTH PLAN | MI |
| 01 | — | 200000004572 | PHP COMMERCIAL | MI |
| 05 | — | 4520134-11 | — | MI |
| 01 | — | 5008701250 | BCBSM | MI |