Doctor Name: | AARON JOSEPH NOLAN |
NPI Number: | 1023459914 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 4704267951 |
Business Practice Address: | 416 Connable Ave Petoskey, MI - 497702212 |
Business Phone Number: | 2314877969 |
Business Fax Number: | 2314873063 |
Mailing Address: | 10850 E Traverse Hwy, Suite 4400 TRAVERSE CITY |
State: | MI |
Postal Code: | 496841364 |
Phone Number: | 2313466800 |
Fax Number: | 9893401214 |
NPI Enumeration Date: | 07/09/2013 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704267951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |