Dana Lynn Bolduc, | |
415 N Noren Lake Dr, Gwinn, MI 49841-8773 | |
(906) 250-5380 | |
Not Available |
Full Name | Dana Lynn Bolduc |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 415 N Noren Lake Dr, Gwinn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225777683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 47033818 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704338918 (Michigan) | Primary |
Entity Name | Dlp Marquette Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Mailing Address | Practice Location Address |
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Dana Lynn Bolduc, 415 N Noren Lake Dr, Gwinn, MI 49841-8773 Ph: (906) 250-5380 | Dana Lynn Bolduc, 415 N Noren Lake Dr, Gwinn, MI 49841-8773 Ph: (906) 250-5380 |
Ms. Sandra Croasdell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 190-634-6492 Fax: 906-346-6474 | |
Mrs. Autumn M Trudeau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 West M-35, Gwinn, MI 49841 Phone: 906-372-4002 Fax: 906-372-4012 | |
Ashley E Croasdell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 190-634-6492 Fax: 906-346-6474 | |
Shayna M Orlich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-5616 | |
Mrs. Melissa Kristine Hinkhouse, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-6474 | |
Ericka Marie Distefano, FNP, ACUPUNCTURIST Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-372-3230 | |
Mrs. Emily Starr, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-5616 |