Individual
ALICIA CLASSENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5024 N ROYAL DR, KIDS CREEK CHILDREN'S CLINIC, TRAVERSE CITY, MI 49684-9230
(231) 935-0555
(231) 935-0562
Mailing address
3129 SILVER HILLS LN, TRAVERSE CITY, MI 49684-8977
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704230080
MI
Other
Enumeration date
12/04/2006
Last updated
01/24/2014
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