Organization
INTERLOCHEN CENTER FOR THE ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY L GIFFELS NP (DIRECTOR OF HEALTH AND WELLNESS)
(231) 276-7220
Entity
Organization
Contact information
Practice address
9900 DIAMOND PARK ROAD, HEALTH SERVICES, INTERLOCHEN, MI 49643-0199
(231) 276-7220
(231) 276-7881
Mailing address
PO BOX 199, SUITE F, INTERLOCHEN, MI 49643-0199
(231) 276-7220
(231) 276-7881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704114336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922003367
—
MI
01
—
264027354
CHAMPUS
MI
01
—
NC114336
BCBS
MI
Enumeration date
06/10/2010
Last updated
06/10/2010
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