| Ms Nancy Jo Fantetti, FNP | |
|
2002 S 11th St, Niles, MI 49120-4074 | |
| (269) 687-0200 | |
| (269) 684-0199 |
| Full Name | Ms Nancy Jo Fantetti |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2002 S 11th St, Niles, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891054458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28125230A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704206107 (Michigan) | Primary |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nancy Jo Fantetti, FNP 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 687-0200 | Ms Nancy Jo Fantetti, FNP 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 687-0200 |
Rebecca L Krzysiak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave Ste 101, Niles, MI 49120 Phone: 269-687-4673 Fax: 269-687-1798 | |
Laurie Ann Gee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120 Phone: 269-687-0808 Fax: 269-687-0811 | |
Elizabeth Zech, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120 Phone: 269-687-0808 Fax: 269-687-0811 | |
Aaron Joseph Lanning, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 Phone: 269-687-2910 Fax: 269-687-8770 | |
Genna Marie Grondin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave Ste 100, Niles, MI 49120 Phone: 696-846-6962 Fax: 269-687-1798 | |
Lauren-shylene Luna Toscano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Eunice Hamilton, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Stateline Rd, Niles, MI 49120 Phone: 269-684-2810 Fax: 248-218-9996 |