Individual
ALISHA DEPONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Mailing address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704284761NSA2111S
MI
Other
Enumeration date
01/05/2022
Last updated
06/08/2022
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