person
Kathleen Marie Pawlanta, FNP
Family Nurse Practitioner in Gaylord, Michigan
NPI 1225055833

Kathleen Marie Pawlanta is a Family Nurse Practitioner based in Gaylord, MI and is specialized in Family. Kathleen Marie Pawlanta practices in Gaylord, MI and has the professional credentials of FNP. The NPI Number for Kathleen Marie Pawlanta is 1225055833 and holds a License No. 4704196460 (Michigan).

The current practice location address for Kathleen Marie Pawlanta is 829 N Center Ave, Gaylord, MI and can be reached out via phone at 989-731-7860 and via fax at 989-731-7954.

Location: 829 N Center Ave, Gaylord, MI, 49735-1595
person
Provider Profile Details
NPI Number
1225055833
Provider Name
Kathleen Marie Pawlanta
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
829 N Center Ave, Gaylord, MI, 49735-1595
Phone Number
989-731-7860
Fax Number
989-731-7954
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC6258 01 MEDICARE RR PROV ID
381303843 01 TAX ID
4600629 05 MI
OF96004 01 MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
829 N Center Ave
City
State
Zip
49735-1595
Phone Number
989-731-7860
Fax Number
989-731-7954
person
Provider Business Mailing Address Details
Address
829 N Center Ave
City
State
Zip
49735-1595
Phone Number
989-731-7860
Fax Number
989-731-7954
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704196460 (Michigan)
Definition
Definition to come...
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