Provider Demographics
NPI:1518376490
Name:TRAEGER, MARGARET ELIZABETH (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:TRAEGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:TRAEGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:521 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-2651
Mailing Address - Country:US
Mailing Address - Phone:269-274-4475
Mailing Address - Fax:
Practice Address - Street 1:970 PARCHMENT DR SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-3662
Practice Address - Country:US
Practice Address - Phone:616-949-4840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN 0991244-NP363LF0000X
MI4704266531363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily