Gaultier, Toni Renee

Gaultier, Toni Renee is an individual health care provider with primary practice located at 1221 6Th St Suite 306, Traverse City MI 49684-2359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gaultier, Toni Renee can be contacted via phone (231) 935-2400.

Contact Information

Primary practice address
1221 6Th St Suite 306 Traverse City MI 49684-2359
Phone: (231) 935-2400
Fax: (231) 935-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TG127054 Michigan

Profile Details

NPI number 1467445619
LBN Legal business name Gaultier, Toni Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated May 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467445619 NPPES
Michigan MEDICAID 4397291

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