| Amanda L Wilson, PEDIATRIC NP | |
|
358 E Chicago St Ste 202, Coldwater, MI 49036-2073 | |
| (517) 279-5252 | |
| Not Available |
| Full Name | Amanda L Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 358 E Chicago St Ste 202, Coldwater, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861002883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 4704264564 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704264564 (Michigan) | Secondary |
| Entity Name | Community Health Center Of Branch County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124055009 PECOS PAC ID: 9335037514 Enrollment ID: O20040309000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda L Wilson, PEDIATRIC NP 17444 Q Dr N, Marshall, MI 49068-9418 Ph: (517) 243-7774 | Amanda L Wilson, PEDIATRIC NP 358 E Chicago St Ste 202, Coldwater, MI 49036-2073 Ph: (517) 279-5252 |
Sarah Riley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 E Chicago St, Coldwater, MI 49036 Phone: 517-279-5214 Fax: 517-279-5488 | |
Betty Delong, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 358 E Chicago St, Suite 203, Coldwater, MI 49036 Phone: 517-278-9364 Fax: 517-278-3966 | |
Lubov Fry, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 892 E Chicago St Ste C, Coldwater, MI 49036 Phone: 517-278-2301 Fax: 517-278-2784 | |
Janette I Altenbernt, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 1st St, Coldwater, MI 49036 Phone: 517-278-6942 | |
Kelsey Norwood, CPNP-PC, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 358 E Chicago St, Coldwater, MI 49036 Phone: 517-279-5252 | |
Mrs. Paige Marie Jamison, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 E Chicago Rd, Coldwater, MI 49036 Phone: 517-462-6267 Fax: 517-781-7169 | |
Megan L Campbell, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Orleans Blvd, Coldwater, MI 49036 Phone: 517-278-2129 Fax: 517-279-8172 |