| Angela M Mike, DNP,CNM | |
|
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
| (702) 653-2300 | |
| Not Available |
| Full Name | Angela M Mike |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770038929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 817518 (Nevada) | Primary |
| 176B00000X | Midwife | RN237598 (Georgia) | Secondary |
| Entity Name | Southwest Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102 |
| Entity Name | Optum Medical Group II Rhodes P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790329407 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770 |
| Entity Name | Planned Parenthood Mar Monte Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497708770 PECOS PAC ID: 1456248954 Enrollment ID: O20040714000802 |
| Entity Name | Las Vegas Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447656988 PECOS PAC ID: 6800118522 Enrollment ID: O20141209001376 |
| Entity Name | Marguerite Brathwaite MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346814787 PECOS PAC ID: 2365843935 Enrollment ID: O20210702001699 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela M Mike, DNP,CNM 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2300 | Angela M Mike, DNP,CNM 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2300 |
Ms. Sierra Lytera Nicole Payton, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |
Jenny Sue Dewalt, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |
Lynn Marie Harvey, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, 99 Msgs/sgcg, Nellis Afb, NV 89191 Phone: 702-653-2300 Fax: 702-653-2109 |