Individual
MARIANNE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1115 S UNION ST, TRAVERSE CITY, MI 49684-3258
(231) 935-0550
(231) 935-0551
Mailing address
1115 S UNION ST, TRAVERSE CITY, MI 49684-3258
(231) 935-0550
(231) 935-0551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704219432
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08774010
BCBS OF MICHIGAN
MI
01
—
0B81224
BCBS OF MICHIGAN
MI
01
—
0P24620
MEDICARE PTAN
MI
01
—
1245283365
GROUP NPI
MI
01
—
1386631455
IND NPI
MI
Enumeration date
10/04/2005
Last updated
08/10/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us