Ms Holly Husted, NP | |
803 W Arlington St, Bangor, MI 49013-1108 | |
(269) 427-6810 | |
(269) 657-6523 |
Full Name | Ms Holly Husted |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 803 W Arlington St, Bangor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750438214 | NPI | - | NPPES |
1801818752 | Other | MI | BCBSM - BMG |
1750438214 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 4704199043 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704199043 (Michigan) | Primary |
Entity Name | Vpa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336153295 PECOS PAC ID: 9234041948 Enrollment ID: O20031103000102 |
Mailing Address | Practice Location Address |
---|---|
Ms Holly Husted, NP 801 Hazen St Ste C, Paw Paw, MI 49079-2008 Ph: (269) 655-3334 | Ms Holly Husted, NP 803 W Arlington St, Bangor, MI 49013-1108 Ph: (269) 427-6810 |
Lori M. Lipari, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50521 34th Ave, Bangor, MI 49013 Phone: 269-427-8339 | |
Angela Reed, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 803 W Arlington St, Bangor Health Center, Bangor, MI 49013 Phone: 269-427-6810 Fax: 269-427-6811 |