Wolotira, Nancy A

Wolotira, Nancy A is an individual health care provider with primary practice located at 300 Lafayette Ave Se , Grand Rapids MI 49503-4600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wolotira, Nancy A can be contacted via phone (616) 732-3098.

Contact Information

Primary practice address
300 Lafayette Ave Se Grand Rapids MI 49503-4600
Phone: (616) 732-3098
Fax: (616) 732-3095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704081078 Michigan

Profile Details

NPI number 1982623633
LBN Legal business name Wolotira, Nancy A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982623633 NPPES
Michigan MEDICAID 4878598
Michigan MEDICAID 4577450

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