Individual
KATHLEEN MARIE PAWLANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
829 N CENTER AVE, SUITE 210, GAYLORD, MI 49735-1595
(989) 731-7860
(989) 731-7954
Mailing address
829 N CENTER AVE, SUITE 298, GAYLORD, MI 49735-1595
(989) 731-7708
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704196460
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381303843
TAX ID
—
05
—
4600629
—
MI
01
—
DC6258
MEDICARE RR PROV ID
—
01
—
OF96004
MEDICARE GROUP NUMBER
—
Enumeration date
07/17/2006
Last updated
12/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us