| Kyle James Nordstrom, DNP, AGACNP-BC | |
|
4000 Wellness Dr, Midland, MI 48670-2000 | |
| (989) 837-9090 | |
| Not Available |
| Full Name | Kyle James Nordstrom |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 4000 Wellness Dr, Midland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801592647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4704321425NSA2302O (Michigan) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 4704321425 (Michigan) | Primary |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle James Nordstrom, DNP, AGACNP-BC 2250 Rollins St, Grand Blanc, MI 48439-4338 Ph: (810) 397-3950 | Kyle James Nordstrom, DNP, AGACNP-BC 4000 Wellness Dr, Midland, MI 48670-2000 Ph: (989) 837-9090 |
Lisa Lynette Miller, ARNP, BSN, MN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr Ste 4000, Midland, MI 48640 Phone: 989-839-3393 | |
Jana Margrette Orr, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3007 N Saginaw Rd, Midland, MI 48640 Phone: 989-839-3385 Fax: 989-839-1491 | |
Kelli Overway, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-488-5850 | |
Raimee Denise Schertzberg, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 W Wackerly St Ste 1600, Midland, MI 48640 Phone: 989-839-8810 | |
Diane Ladd, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5912 Eastman Ave, Midland, MI 48640 Phone: 989-832-6400 | |
Caitlyn Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Thomas Richard Mcguirk, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000 |