Nicole Prohaska, LPN is a
Licensed Practical Nurse based in Alma, Michigan. Nicole Prohaska is licensed to practice in Michigan (license number 4703099841) and her current practice location is
133 Laura Dr, Alma, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 854-1195.
NPI number for Nicole Prohaska is 1073065249 and her current mailing address is 133 Laura Dr, Alma, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073065249.
Provider's Profile
Full Name | Nicole Prohaska |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 133 Laura Dr, Alma, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073065249
- Provider Enumeration Date: 11/03/2016
- Last Update Date: 11/03/2016
Medical Identifiers
Medical identifiers for Nicole Prohaska such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073065249 | NPI | - | NPPES |
4703099841 | Other | MI | STATE OF MICHIGAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703099841 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Prohaska is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Prohaska, LPN 133 Laura Dr, Alma, MI 48801-1998 Ph: (989) 854-1195 | Nicole Prohaska, LPN 133 Laura Dr, Alma, MI 48801-1998 Ph: (989) 854-1195 |
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