| Mikale Natasha Nowak, NP | |
|
831 Highway 150 S, Evanston, WY 82930-3800 | |
| (307) 789-3464 | |
| Not Available |
| Full Name | Mikale Natasha Nowak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 831 Highway 150 S, Evanston, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366114472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 45708 (Wyoming) | Primary |
| Entity Name | State Of Wyoming |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316011562 PECOS PAC ID: 4587552583 Enrollment ID: O20040728001439 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikale Natasha Nowak, NP 831 Highway 150 S, Evanston, WY 82930-3800 Ph: (307) 444-0839 | Mikale Natasha Nowak, NP 831 Highway 150 S, Evanston, WY 82930-3800 Ph: (307) 789-3464 |
Mr. James David Benson, AGNP-C, PHD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 170 Arrowhead Dr Ste 2, Evanston, WY 82930 Phone: 307-212-6270 Fax: 307-212-6271 | |
Kimberly Anne Begalla, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930 Phone: 307-789-6111 Fax: 307-789-7111 | |
Brandon Jaggi, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Center St Ste 1, Evanston, WY 82930 Phone: 307-300-5885 | |
Bailey Jensen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-8721 Fax: 307-789-8664 | |
Ms. Mary Elizabeth Coffeen-carley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 831 St. Highway, 150 South, Wyoming State Hospital, Evanston, WY 82931 Phone: 307-789-3464 Fax: 307-789-7213 | |
Mrs. Christa Lena Weaver, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 Arrowhead Dr Ste 1, Evanston, WY 82930 Phone: 307-789-9355 |