| Nicole Kanomata, FNP | |
|
7504 6 Mile Bridge Rd, Manistee, MI 49660-9488 | |
| (231) 299-0579 | |
| Not Available |
| Full Name | Nicole Kanomata |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7504 6 Mile Bridge Rd, Manistee, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366165102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F10220404 (Michigan) | Primary |
| Entity Name | Northstar Palliative Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033638077 PECOS PAC ID: 6800148677 Enrollment ID: O20181004002356 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kanomata, FNP 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 Ph: () - | Nicole Kanomata, FNP 7504 6 Mile Bridge Rd, Manistee, MI 49660-9488 Ph: (231) 299-0579 |
Tracy Robinson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1550 Fax: 231-398-1691 | |
Jesse Leah Keson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1465 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1000 | |
Jennifer Rebecca Dalton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Caberfae Hwy, Manistee, MI 49660 Phone: 231-723-8272 | |
Jillian Lee Mogerman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2536 Modjeski Rd, Manistee, MI 49660 Phone: 231-690-5476 | |
Megan Michelle Vansickle, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2608 Government Center Dr, Manistee, MI 49660 Phone: 231-723-8299 | |
Stacey Bonecutter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1806 E Parkdale Ave, Ste 3, Manistee, MI 49660 Phone: 231-398-9536 Fax: 231-398-9541 | |
Keri Ann Foster, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2198 Us 31 S, Manistee, MI 49660 Phone: 231-723-3567 |