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Nicole Kanomata, FNP
Family Nurse Practitioner in Manistee, Michigan
NPI 1366165102

Nicole Kanomata is a Family Nurse Practitioner based in Ann Arbor, MI and is specialized in Family. Nicole Kanomata practices in Manistee, MI and has the professional credentials of FNP. The NPI Number for Nicole Kanomata is 1366165102 and holds a License No. F10220404 (Michigan).

The current practice location address for Nicole Kanomata is 7504 6 Mile Bridge Rd, Manistee, MI and can be reached out via phone at 231-299-0579.

Location: 7504 6 Mile Bridge Rd, Manistee, MI, 48103-8944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366165102
Provider Name
Nicole Kanomata
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
7504 6 Mile Bridge Rd, Manistee, MI, 48103-8944
Phone Number
231-299-0579
Fax Number
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7504 6 Mile Bridge Rd
City
Manistee
State
Michigan
Zip
49660-9488
Phone Number
231-299-0579
Fax Number
person
Provider Business Mailing Address Details
Address
7504 6 Mile Bridge Rd
City
Manistee
State
Michigan
Zip
49660-9488
Phone Number
231-299-0579
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F10220404 (Michigan)
Definition
Definition to come...
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