IndividualActive
Alicia Classens, CPNP
NPI 1710045661 · Pediatric Nurse Practitioner · Traverse City, MI
Provider details
- NPI number
- 1710045661
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704230080 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5024 N Royal Dr
Kids Creek Children'S Clinic
Traverse City, MI 49684-9230
Phone: (231) 935-0555
Fax: (231) 935-0562
Approximate (ZIP-level) locationGet directions
Mailing address
3129 Silver Hills Ln
Traverse City, MI 49684-8977
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2014-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.