Individual
AIMEE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 392-0640
Mailing address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704244290
MI
Other
Enumeration date
07/12/2016
Last updated
12/21/2020
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