Individual
MICHAELA MAY OMATICK
Active
Individual
MICHAELA MAY OMATICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012698
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616256
GATEWAY MEDICARE ASSURED
PA
Enumeration date
01/14/2013
Last updated
10/07/2015
Update your record
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