Organization
HONOR FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN HEIT FNP (OWNER/FAMILY NURSE PRACTITIONER)
(231) 325-2277
Entity
Organization
Contact information
Practice address
10524 MAIN ST, HONOR, MI 49640-9461
(231) 325-2277
(231) 325-2279
Mailing address
10524 MAIN ST, HONOR, MI 49640-9461
(231) 325-2277
(231) 325-2279
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
233967
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A01019
BLUE CROSS AND BLUE SHIELD
MI
Enumeration date
09/23/2014
Last updated
09/23/2014
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