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Individual

MAUREEN E ASCIONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
4624 N SPIDER LAKE RD, TRAVERSE CITY, MI 49696-8440
(231) 947-0673
(801) 740-2847
Mailing address
1105 6TH ST., TRAVERSE OBSERVATION PHYSICIAN SERVICES, TRAVERSE CITY, MI 49684
(231) 947-0673

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704244534
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851637169
NPI
MI
Enumeration date
12/14/2012
Last updated
04/07/2015
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