| Nicole Elizabeth Richie, CNM | |
|
1005 W Green St Ste 301, Hastings, MI 49058-1729 | |
| (269) 945-8080 | |
| Not Available |
| Full Name | Nicole Elizabeth Richie |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1005 W Green St Ste 301, Hastings, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801541222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704310156 (Michigan) | Primary |
| Entity Name | Pennock Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518186295 PECOS PAC ID: 4587551015 Enrollment ID: O20040301000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Elizabeth Richie, CNM 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790 | Nicole Elizabeth Richie, CNM 1005 W Green St Ste 301, Hastings, MI 49058-1729 Ph: (269) 945-8080 |
Camie Jean Wisinski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1005 W Green St Ste 301, Hastings, MI 49058 Phone: 269-945-8080 | |
Mrs. Roxanne R Gaiski, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Ste 301, Hastings, MI 49058 Phone: 269-945-8080 Fax: 269-945-8081 | |
Jessica Travis, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1005 W Green St Ste 301, Hastings, MI 49058 Phone: 269-945-8080 | |
Carey Sue Groendal, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1005 W Green St Ste 301, Hastings, MI 49058 Phone: 269-945-8080 |