Nikisha Blue Waters Zanon, MSW is a
Counselor - Mental Health based in Iron Mountain, Michigan. Nikisha Blue Waters Zanon is licensed to practice in Michigan (license number 6801117454) and her current practice location is
440 Woodward Ave, Iron Mountain, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 776-9040.
NPI number for Nikisha Blue Waters Zanon is 1710517883 and her current mailing address is Po Box 22040, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710517883.
Healthcare Provider's Profile
Full Name | Nikisha Blue Waters Zanon |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 440 Woodward Ave, Iron Mountain, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710517883
- Provider Enumeration Date: 01/17/2020
- Last Update Date: 12/19/2023
Medical Identifiers
Medical identifiers for Nikisha Blue Waters Zanon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710517883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801106247 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | 6801117454 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nikisha Blue Waters Zanon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nikisha Blue Waters Zanon, MSW Po Box 22040, Green Bay, WI 54305-2040 Ph: (920) 445-7222 | Nikisha Blue Waters Zanon, MSW 440 Woodward Ave, Iron Mountain, MI 49801-4631 Ph: (906) 776-9040 |
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