SUE ELLEN DUNHAM FNP
NPI 1427068790
Nurse Practitioner in Traverse City, MI

Q: What is Sue Dunham's NPI number?

The NPI number for Sue Dunham is 1427068790. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Sue Dunham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sue Dunham was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2006

4020 COPPER VW STE 104, TRAVERSE CITY, MI 49684(231) 421-6921(231) 421-7852 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sue Ellen Dunham Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUE ELLEN DUNHAM FNP (NPI 1427068790) is an individual nurse practitioner in Traverse City, Michigan, licensed in Michigan (4704082241) and active in the NPI registry since August 2006. She maintains a secondary practice location in Manton.

NPPES Registry Identity

NPI1427068790

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUE ELLEN DUNHAMCredential: FNP

Location Address4020 COPPER VW STE 104Traverse City, MI 49684

Mailing Address3785 Bay RdSaginaw, MI 48603-2433 · (989) 791-2455 · Fax (989) 791-1392

Phone(231) 421-6921

Fax(231) 421-7852

Sole ProprietorYes

Enumeration DateAugust 9, 2006

Last NPPES UpdateApril 17, 2019

✔ NPI 1427068790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704082241

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4020 COPPER VW STE 104, Traverse City, MI 49684

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Secondary Practice Location 1

Location 1115 E 7th StManton, MI 49663-9429 · Phone (231) 824-4100 · Fax (231) 824-4108

Other Identifiers 2

Other5008770670MI · Blue Cross Blue Shield

Medicaid4945609-10MI

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MELANIE SUE LUTZ LMSW

Social Worker (Clinical)