Most Relevant Information
Provider Data
| NPI Number: | 1003646811 |
| Provider Name: | ARIEL MARIE ENNIS NNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0005X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704307440 |
Most Important Dates
| Enumeration Date: | 08/06/2024 |
| Last Updated: | 08/23/2024 |
Provider Practice Location
1105 SIXTH ST
TRAVERSE CITY
MI
496842345
Practice Location Phone/Fax
| Phone: | 2319353250 |
| Fax: |
Provider Mailing Location
13024 ALYSSIA AVE
CHARLEVOIX
MI
497208200
Provider Mailing Phone/Fax
| Phone: | 2314370853 |
| Fax: |