Jan Hazel Prokosch in Munising - Nurse Practitioner
Jan Hazel Prokosch - NPI 1639105372
Jan Hazel Prokosch is a Nurse Practitioner in Munising, Michigan. Jan Hazel Prokosch practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jan Hazel Prokosch is 1639105372. The last update date is 2012-11-30.
Jan Hazel Prokosch's current location address is 1500 Sandpoint Rd, Munising, Michigan. You can contact this provider via phone number 9063874110 and fax number 9063873514. The mailing address for Jan Hazel Prokosch is 1500 Sandpoint Rd, Munising, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Hazel Prokosch |
|---|---|
| Address | 1500 Sandpoint Rd, Munising, Michigan |
| Phone Number | 9063874110 |
| Fax Number | 9063873514 |
| Sole Proprietor | N |
| Credentials | FNPC |
NPI Number Detail
| NPI Number | 1639105372 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2012-11-30 |
Provider Mailing Address Detail
| Address | 1500 Sandpoint Rd |
|---|---|
| City | Munising |
| State | Michigan (MI) |
| Post Code | 498621406 |
| Phone Number | 9063874110 |
| Fax Number | 9063873514 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704215502 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5008770770 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jan Hazel Prokosch by the Centers for Medicare & Medicaid Services?
The Jan Hazel Prokosch has been issued the NPI (National Provider Identifier) 1639105372, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jan Hazel Prokosch?
The Jan Hazel Prokosch is physically situated at 1500 Sandpoint Rd, in the city of Munising, state of MI, with the postal code 498621406.
What is the Jan Hazel Prokosch's area of specialization and corresponding taxonomy classification?
The Jan Hazel Prokosch's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639105372 to Jan Hazel Prokosch?
The Centers for Medicare & Medicaid Services originally issued the 1639105372 to Jan Hazel Prokosch on 2006-06-24.
When was the Jan Hazel Prokosch's information last updated?
The Jan Hazel Prokosch's information was last updated on 2012-11-30.