Individual
MS. PATRICIA ELAINE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10767 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-6219
(261) 947-1112
(231) 947-7739
Mailing address
10767 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-6219
(261) 947-1112
(231) 947-7739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704076658
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3462994
—
MI
01
—
500866378
BCBS
MI
Enumeration date
08/30/2006
Last updated
05/26/2010
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