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Sue Ellen Dunham, FNP
Nurse Practitioner in Traverse City, Michigan
NPI 1427068790

Sue Ellen Dunham is a Nurse Practitioner based in Saginaw, MI. Sue Ellen Dunham practices in Traverse City, MI and has the professional credentials of FNP. The NPI Number for Sue Ellen Dunham is 1427068790 and holds a License No. 4704082241 (Michigan).

The current practice location address for Sue Ellen Dunham is 4020 Copper Vw Ste 104, Traverse City, MI and can be reached out via phone at 231-421-6921 and via fax at 231-421-7852.

Location: 4020 Copper Vw Ste 104, Traverse City, MI, 48603-2433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427068790
Provider Name
Sue Ellen Dunham
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4020 Copper Vw Ste 104, Traverse City, MI, 48603-2433
Phone Number
231-421-6921
Fax Number
231-421-7852
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4945609-10 05 MI
5008770670 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4020 Copper Vw Ste 104
City
Traverse City
State
Michigan
Zip
49684
Phone Number
231-421-6921
Fax Number
231-421-7852
person
Provider Business Mailing Address Details
Address
4020 Copper Vw Ste 104
City
Traverse City
State
Michigan
Zip
49684
Phone Number
231-421-6921
Fax Number
231-421-7852
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704082241 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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