Mrs Lastascia Nicole Granger Coleman, ARNP, CNM | |
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
(319) 353-6471 | |
(319) 356-3901 |
Full Name | Mrs Lastascia Nicole Granger Coleman |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 200 Hawkins Dr, Iowa City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205173440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | B119906 (Iowa) | Primary |
Entity Name | State University Of Iowa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
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Mrs Lastascia Nicole Granger Coleman, ARNP, CNM 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 353-6471 | Mrs Lastascia Nicole Granger Coleman, ARNP, CNM 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 353-6471 |
Amber Lois Goodrich, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-8218 Fax: 319-384-8620 | |
Mrs. Rebecca Winnike, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Dept Of Ob/gyn, Iowa City, IA 52242 Phone: 319-356-4664 Fax: 319-384-8620 | |
Anne Elaine Peacock, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-7038 Fax: 319-356-7556 | |
Mrs. Christina Marie Shutters, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2294 Fax: 319-467-5188 | |
Ms. Laura Jane Hanna-bergen, ARNP, CNM, MSN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 800-777-8442 Fax: 319-356-3949 | |
Ms. Kathy Mccormick Devine, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 221 E College St, Suite 211, Iowa City, IA 52240 Phone: 319-337-3313 Fax: 319-337-0686 |