Individual
PATRICIA ANNE CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
815 BUSINESS PARK DR STE A, TRAVERSE CITY, MI 49686-8683
(248) 931-8677
Mailing address
11272 PENINSULA DR, TRAVERSE CITY, MI 49686-8289
(248) 931-8677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704166105
MI
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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