Mary Bonnie Smith
C.P.N.P. | Nurse Practitioner - Pediatrics
3643 W Front St, Suite C, Traverse City
Michigan, 49684-7759
231-935-0614
Mary Bonnie Smith is a Traverse City, Michigan based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mary Bonnie Smith is 4704077230 for Pediatrics in Michigan. Her current practice location is 3643 W Front St, Suite C, Traverse City. Patients can reach her at 231-935-0614 or can fax her at 231-935-0832. Mary Bonnie Smith is C.P.N.P. with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1588876254.
Mary Bonnie Smith specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mary Bonnie Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Bonnie Smith |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | C.P.N.P. |
| Practice Address: | 3643 W Front St, Suite C, Traverse City,
Michigan, 49684-7759 |
| Phone: | 231-935-0614 |
| Fax: | 231-935-0832 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1588876254 |
| NPI Enumeration Date: | 04 May, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Bonnie Smith are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704077230 | Pediatrics | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Bonnie Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4704077230 | Other | Michigan | REGISTERED NURSE LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Bonnie Smith
3643 W Front St, Suite C
Traverse City, Michigan |
| Zip: | 49684-7759 |
| Phone Number: | 231-935-0614 |
| Fax Number: | 231-935-0832 |
Patients can reach Mary Bonnie Smith at
3643 W Front St, Suite C, Traverse City, Michigan or can
call to book an appointment on 231-935-0614.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.