Tia Lavelle Mills, NP | |
850 W Baraga Ave, Marquette, MI 49855-4550 | |
(906) 449-3000 | |
Not Available |
Full Name | Tia Lavelle Mills |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 850 W Baraga Ave, Marquette, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700518578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704290339 (Michigan) | Primary |
Entity Name | Theoria Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
Mailing Address | Practice Location Address |
---|---|
Tia Lavelle Mills, NP Po Box 80, Gwinn, MI 49841-0080 Ph: (906) 458-4855 | Tia Lavelle Mills, NP 850 W Baraga Ave, Marquette, MI 49855-4550 Ph: (906) 449-3000 |
Lisa Lee Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 35, Marquette, MI 49855 Phone: 906-449-1140 Fax: 906-449-1844 | |
Rodney Riesland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Ste 344, Marquette, MI 49855 Phone: 906-225-3910 Fax: 906-225-4529 | |
Angela J Rose-kratz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 249, Marquette, MI 49855 Phone: 906-225-3333 Fax: 906-225-3788 | |
Mr. Andrew Gerard Boudreau, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-4531 Fax: 906-225-4807 | |
Edith Elaine Weatherford, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, #226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Mrs. Rachel Bonsall, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Caleb Yeargan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 |