KATHLEEN MARIE PAWLANTA F.N.P. NPI 1225055833

NPI Information

NPI: 1225055833
Provider Name: KATHLEEN MARIE PAWLANTA, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
829 N CENTER AVE
SUITE 210
GAYLORD, MI
ZIP 49735
Phone: (989) 731-7860
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Kathleen Marie Pawlanta, F.N.P. is a family nurse practitioner in Gaylord, MI with 24 years of experience. Kathleen Marie Pawlanta, F.N.P. NPI is 1225055833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

829 N CENTER AVE
SUITE 210
GAYLORD, MI
ZIP 49735-595
Phone: (989) 731-7860
Fax: (989) 731-7954

The NPI 1225055833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704196460	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DC6258	OTHER		MEDICARE RR PROV ID
2	381303843	OTHER		TAX ID
3	OF96004	OTHER		MEDICARE GROUP NUMBER
4	4600629	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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