Suanne Vannatter, MHNP-BC | |
533 Peace Pipe Road, Lac Du Flambeau, WI 54538-0189 | |
(715) 588-1511 | |
(715) 588-3903 |
Full Name | Suanne Vannatter |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 533 Peace Pipe Road, Lac Du Flambeau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558792499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 145561-30 (Wisconsin) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5610-33 (Wisconsin) | Primary |
Entity Name | Lac Du Flambeau Band Of Lake Superior Chippewa Indians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134235047 PECOS PAC ID: 5496707242 Enrollment ID: O20050221000179 |
Mailing Address | Practice Location Address |
---|---|
Suanne Vannatter, MHNP-BC Po Box 189, Lac Du Flambeau, WI 54538-0189 Ph: (715) 588-1511 | Suanne Vannatter, MHNP-BC 533 Peace Pipe Road, Lac Du Flambeau, WI 54538-0189 Ph: (715) 588-1511 |
Dana Irmick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Old Abe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-3371 Fax: 715-588-7884 | |
Lucas C Daniels, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 Old Abe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-3371 | |
Michaela Daubon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Old Abe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-3371 Fax: 715-588-3371 |