| Beth Kristen Mutch, FNP | |
|
15959 Hall Rd, Suite 301, Macomb, MI 48044-3904 | |
| (586) 247-8609 | |
| (586) 247-8615 |
| Full Name | Beth Kristen Mutch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 15959 Hall Rd, Macomb, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750504684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704237164 (Michigan) | Primary |
| Entity Name | Oakland Macomb Obstetrics & Gynecology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760424139 PECOS PAC ID: 4183673015 Enrollment ID: O20050119000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Kristen Mutch, FNP 18076 Huron Dr, Macomb, MI 48042-2391 Ph: (586) 992-8798 | Beth Kristen Mutch, FNP 15959 Hall Rd, Suite 301, Macomb, MI 48044-3904 Ph: (586) 247-8609 |
Nicole Marie Trudeau-klimek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17900 23 Mile Rd Ste 101, Macomb, MI 48044 Phone: 586-868-9200 Fax: 586-868-9201 | |
Melanie A Rogus, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 48610 Brittany Parc Dr, Macomb, MI 48044 Phone: 586-201-8524 | |
Mrs. Danielle Holly Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45441 Heydenreich Rd, Macomb, MI 48044 Phone: 862-268-6005 | |
Alyssa Iannello, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 46806 Edgewater Dr, Macomb, MI 48044 Phone: 248-259-7109 | |
Khaled Awwad, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52129 Monaco Dr, Macomb, MI 48042 Phone: 586-596-5441 | |
Mrs. Praisy Jacob, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50861 Nesting Ridge Dr, Macomb, MI 48044 Phone: 586-764-9892 | |
Christina Leigh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21844 23 Mile Rd, Macomb, MI 48042 Phone: 586-598-8115 Fax: 586-789-7426 |