Templeman, Mickki Renae

Templeman, Mickki Renae is an individual health care provider with primary practice located at 411 W Broadway St Suite A, Mount Pleasant MI 48858-2402. 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. Templeman, Mickki Renae can be contacted via phone (989) 772-9523.

Contact Information

Primary practice address
411 W Broadway St Suite A Mount Pleasant MI 48858-2402
Phone: (989) 772-9523
Fax: (989) 772-9052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704184401 Michigan

Profile Details

NPI number 1356371777
LBN Legal business name Templeman, Mickki Renae
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 13th, 2012 - about 13 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 1356371777 NPPES
Michigan Other 200000004572 PHP COMMERCIAL
Michigan MEDICAID 4520134-11 PHP COMMERCIAL
Michigan Other 1010137 PHP COMMERCIAL
Michigan Other 5008701250 PHP COMMERCIAL

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