Pakieser, Marylee

Pakieser, Marylee is an individual health care provider with primary practice located at 4020 Copper Vw Ste 104 , Traverse City MI 49684-7041. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pakieser, Marylee can be contacted via phone (231) 421-6921.

Contact Information

Primary practice address
4020 Copper Vw Ste 104 Traverse City MI 49684-7041
Phone: (231) 421-6921
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704106641 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704106641 Michigan

Profile Details

NPI number 1265517494
LBN Legal business name Pakieser, Marylee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Feb 15th, 2024 - about last year

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 1265517494 NPPES
Michigan MEDICAID 104390272
Michigan Other MP106641

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