Nurse Practitioner, Obstetrics & Gynecology
GRAND TRAVERSE WOMENS CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1942552559 · enumerated 2012-10-05 · record updated 2016-02-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. BARBARA ROGERS, CREDENTIALING SPECIALIST · (231) 392-0655
Addresses and phones
- Mailing address 1200 SIXTH ST, STE 400, TRAVERSE CITY, MI, 49684-2369 (231) 392-0655 Fax (231) 392-0691 Google Maps Apple Maps OpenStreetMap
- Practice location 1200 SIXTH ST, STE 400, TRAVERSE CITY, MI, 49684-2369 (231) 392-0655 Fax (231) 392-0691 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Obstetrics & Gynecology 363LX0001X · Primary · License 4704273686 MI
In this directory
MI Leelanau County Traverse City Nurse Practitioner, Obstetrics & Gynecology
Locations and evidence
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Practice location
TRAVERSE CITY, MI, 496842369
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.