| Mrs Lastascia Nicole Granger Coleman, ARNP, CNM | |
|
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
| (319) 353-6471 | |
| (319) 356-3901 |
| Full Name | Mrs Lastascia Nicole Granger Coleman |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 200 Hawkins Dr, Iowa City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205173440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | B119906 (Iowa) | Primary |
| Entity Name | State University Of Iowa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lastascia Nicole Granger Coleman, ARNP, CNM 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 353-6471 | Mrs Lastascia Nicole Granger Coleman, ARNP, CNM 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 353-6471 |
Amber Lois Goodrich, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-8218 Fax: 319-384-8620 | |
Mrs. Rebecca Winnike, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Dept Of Ob/gyn, Iowa City, IA 52242 Phone: 319-356-4664 Fax: 319-384-8620 | |
Anne Elaine Peacock, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-7038 Fax: 319-356-7556 | |
Ms. Kathryn Marie-gibson Slemmons, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 920 Ginter Ave, Iowa City, IA 52240 Phone: 480-603-5683 | |
Mrs. Christina Marie Shutters, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2294 Fax: 319-467-5188 | |
Ms. Laura Jane Hanna-bergen, ARNP, CNM, MSN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 800-777-8442 Fax: 319-356-3949 |