| Ms Katherine Marie Longoria, PNP, RN | |
|
2680 W Centre Ave, Portage, MI 49024-4828 | |
| (269) 324-2400 | |
| (269) 324-0450 |
| Full Name | Ms Katherine Marie Longoria |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 2680 W Centre Ave, Portage, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275887051 | NPI | - | NPPES |
| 1275887051 | Medicaid | MI | |
| 1801818752 | Other | MI | BCBSM - BMG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0200X | Registered Nurse - Pediatrics | 4704250766 (Michigan) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 4704250766 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Katherine Marie Longoria, PNP, RN 2680 W Centre Ave, Portage, MI 49024-4828 Ph: (269) 324-2400 | Ms Katherine Marie Longoria, PNP, RN 2680 W Centre Ave, Portage, MI 49024-4828 Ph: (269) 324-2400 |
Mrs. April Klavinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Miss Manjerngie Cecelia Ndebe, FNP-C, PHD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 W. Milham Ave, Portage, MI 49024 Phone: 269-488-9008 Fax: 269-488-9001 | |
Maria Anna Csiszar, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3770 Glenkerry Ct, Portage, MI 49024 Phone: 269-329-2887 Fax: 269-329-2805 | |
Kelsey Lankford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Jonathan Nykamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Portage, MI 49024 Phone: 269-978-0444 Fax: 269-978-0447 | |
Christina M Kemple, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7775 Angling Rd, Portage, MI 49024 Phone: 269-324-8670 | |
Ronald Ken Ladouce, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-341-6736 |