Sunny Cole, RN

Individual provider Active NPI General Practice Registered Nurse · Traverse City, MI

NPI 1972178168 · NPPES record last updated May 21, 2021

Key facts

NPI
1972178168
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
4704340173 (MI)
Practice address
2325 Garfield Rd N
Traverse City, MI 49686-5178
Phone
(231) 252-2767
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704340173MIMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 4704340173 MI Yes

Addresses

Primary practice location

2325 Garfield Rd N
Traverse City, MI 49686-5178

Mailing address

276 Kratky Dr
Traverse City, MI 49696-1180
Phone (231) 631-4323

Other providers in Traverse City, MI

All providers in Traverse City, MI · General Practice Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.