Individual
ALLISON ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3537 W FRONT ST STE E, TRAVERSE CITY, MI 49684-7943
(231) 935-8930
Mailing address
3537 W FRONT ST STE E, TRAVERSE CITY, MI 49684-7943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704305889
MI
363LF0000X
Family Nurse Practitioner
Primary
4704305889
MI
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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