Nina Johnson Deane, PMHNP | |
15146 16th Ave, Marne, MI 49435-9605 | |
(844) 776-9651 | |
Not Available |
Full Name | Nina Johnson Deane |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 15146 16th Ave, Marne, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932814787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704316882 (Michigan) | Primary |
Entity Name | Lafayette Medical Specialists Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598437642 PECOS PAC ID: 1355791575 Enrollment ID: O20231229000371 |
Mailing Address | Practice Location Address |
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Nina Johnson Deane, PMHNP 15146 16th Ave, Marne, MI 49435-9605 Ph: (844) 776-9651 | Nina Johnson Deane, PMHNP 15146 16th Ave, Marne, MI 49435-9605 Ph: (844) 776-9651 |
Jason Roberts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 | |
Ms. Tammy Jo Ayers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 | |
Amy Lynn Boshoven, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 616-288-6970 Fax: 616-341-6013 | |
Hilary M Fowler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 616-520-9074 | |
Mary Carol Vander Wal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13712 32nd Ave, Marne, MI 49435 Phone: 616-677-3633 Fax: 616-677-5330 | |
Lee A Diener, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 |