Individual
NANCY JANE PAUNICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS-FNP-CS
Contact information
Practice address
3777 NORTH FRONTAGE ROAD, MICHIGAN CITY, IN 46360-7694
(219) 877-3880
(219) 879-6365
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000141A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000772332
ANTHEM BCBS
IN
05
—
200083140
—
IN
01
—
M400075623
MEDICARE PTAN
IN
Enumeration date
09/30/2005
Last updated
11/28/2012
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