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MARY BONNIE SMITH C.P.N.P.
NPI 1588876254
Nurse Practitioner - Pediatrics in Traverse City, MI

Active since May 04, 2007
3643 W FRONT ST, SUITE C, TRAVERSE CITY, MI 49684(231) 935-0614(231) 935-0832 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mary Bonnie Smith C.p.n.p. NPPES

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

MARY BONNIE SMITH C.P.N.P. (NPI 1588876254) is an individual pediatrics provider in Traverse City, Michigan, licensed in Michigan (4704077230) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1588876254
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY BONNIE SMITHCredential: C.P.N.P.
Location Address3643 W FRONT ST, SUITE CTraverse City, MI 49684-7759
Mailing Address3643 W Front St, Suite CTraverse City, MI 49684-7759 · (231) 935-0614 · Fax (231) 935-0832
Phone(231) 935-0614
Fax(231) 935-0832
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588876254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704077230
3643 W FRONT ST, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 1

Other4704077230MI · Registered Nurse License

Other Providers at the Same Location NPPES 10

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

DR. ROBERT E KUHN D.O.
Internal Medicine
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
DR. WALTER K MEEKER M.D.
Internal Medicine
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
DR. JOHN J GORMAN M.D.
Internal Medicine
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
NORTHERN MICHIGAN MEDICINE AND PEDIATRICS, PLLC
Pediatrics
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
MRS. AMY LYNN REAM AT.,C
Specialist/Technologist (Athletic Trainer)
3643 W FRONT ST, SUITE B
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0590
DR. JEFFREY JOHN KELLY D.O.
Dermatology
3643 W FRONT ST, SUITE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0620
CURT JEFFREY SCHUBERT M.D.
Pediatrics
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY PC
Dermatology (Dermatopathology)
3643 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Smith's NPI number?

The NPI number for Mary Smith is 1588876254. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Mary Smith located?

Mary Smith practices at 3643 W Front St Suite C, Traverse City, MI 49684. The listed phone number is (231) 935-0614.

What is Mary Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.