IndividualActive
Kelly Gingras, NURSE PRACTITIONER
NPI 1679159925 · Women's Health Nurse Practitioner · Traverse City, MI
Provider details
- NPI number
- 1679159925
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 4704314487 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2600 Lafranier Rd
Traverse City, MI 49686-4765
Phone: (231) 995-6111
Approximate (ZIP-level) locationGet directions
Mailing address
2600 Lafranier Rd
Traverse City, MI 49686-4765
Registry dates
- Enumerated
- 2021-03-18
- Last updated
- 2023-03-02
- Certified
- 2023-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.