Fatima Mabalot Cortez, NP | |
1728 S Peninsula Rd, East Jordan, MI 49727-9410 | |
(231) 536-2286 | |
Not Available |
Full Name | Fatima Mabalot Cortez |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1728 S Peninsula Rd, East Jordan, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508431792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 4704361503 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704361503 (Michigan) | Primary |
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
Mailing Address | Practice Location Address |
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Fatima Mabalot Cortez, NP 271 Parkview Dr, Kingsley, MI 49649-9479 Ph: (907) 738-3173 | Fatima Mabalot Cortez, NP 1728 S Peninsula Rd, East Jordan, MI 49727-9410 Ph: (231) 536-2286 |
Joelle Woodruff, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Bridge St, East Jordan, MI 49727 Phone: 231-536-2206 | |
Jennifer Sampson, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Bridge St, East Jordan, MI 49727 Phone: 231-536-2206 | |
Molly Zubal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Bridge St, East Jordan, MI 49727 Phone: 231-536-2206 | |
Courtney Brinkman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Bridge St, East Jordan, MI 49727 Phone: 231-536-2206 |