Colette Mikula, | |
7630 Southern Blvd, Boardman, OH 44512-5633 | |
(330) 729-8233 | |
Not Available |
Full Name | Colette Mikula |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7630 Southern Blvd, Boardman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174216303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0033221 (Ohio) | Primary |
Entity Name | Triad Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
Mailing Address | Practice Location Address |
---|---|
Colette Mikula, 1133 Red Tail Hawk Ct Unit 5, Boardman, OH 44512-8007 Ph: () - | Colette Mikula, 7630 Southern Blvd, Boardman, OH 44512-5633 Ph: (330) 729-8233 |
Lori L Leipheimer, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8261 Market St, Boardman, OH 44512 Phone: 330-286-0050 | |
Amanda Rae Caputo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 Windham Ct Ste 6a, Boardman, OH 44512 Phone: 330-259-0440 | |
Richelle D Shipman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-965-0909 Fax: 330-965-0897 | |
Nikki Moore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Trailwood Dr, Boardman, OH 44512 Phone: 234-287-6544 Fax: 330-259-9721 | |
Elizabeth Grace Carrier, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897 | |
Ryan L Scragg, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7206 Market St Ste A, Boardman, OH 44512 Phone: 330-726-3379 Fax: 330-726-8683 | |
Mrs. Regina M O'leary, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-480-2363 Fax: 330-480-6359 |