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Marianne Peacock, NP
Family Nurse Practitioner in Traverse City, Michigan
NPI 1386631455

Marianne Peacock is a Family Nurse Practitioner based in Traverse City, MI and is specialized in Family. Marianne Peacock practices in Traverse City, MI and has the professional credentials of NP. The NPI Number for Marianne Peacock is 1386631455 and holds a License No. 4704219432 (Michigan).

The current practice location address for Marianne Peacock is 1115 S Union St, Traverse City, MI and can be reached out via phone at 231-935-0550 and via fax at 231-935-0551. You can also correspond with Marianne Peacock through the mailing address at 1115 S UNION ST, TRAVERSE CITY, MI - 49684-3258 (mailing address contact number: 231-935-0550).

Location: 1115 S Union St, Traverse City, MI, 49684-3258
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Provider Profile Details
NPI Number
1386631455
Provider Name
Marianne Peacock
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1115 S Union St, Traverse City, MI, 49684-3258
Phone Number
231-935-0550
Fax Number
231-935-0551
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08774010 01 MI BCBS OF MICHIGAN
0B81224 01 MI BCBS OF MICHIGAN
1386631455 01 MI IND NPI
0P24620 01 MI MEDICARE PTAN
1245283365 01 MI GROUP NPI
institution
Provider Business Practice Location Address Details
Address
1115 S Union St
City
State
Zip
49684-3258
Phone Number
231-935-0550
Fax Number
231-935-0551
person
Provider Business Mailing Address Details
Address
1115 S Union St
City
State
Zip
49684-3258
Phone Number
231-935-0550
Fax Number
231-935-0551
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704219432 (Michigan)
Definition
Definition to come...
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