Basic Information
| Provider Information | |||||||||
| NPI: | 1902988777 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOWKA | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 580 S. NICOLET STREET | ||||||||
| Address2: | P.O. BOX 868 | ||||||||
| City: | MACKINAW CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2314369900 | ||||||||
| FaxNumber: | 2314365357 | ||||||||
| Practice Location | |||||||||
| Address1: | 580 S. NICOLET STREET | ||||||||
| Address2: | |||||||||
| City: | MACKINAW CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2314369900 | ||||||||
| FaxNumber: | 2314365357 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2006 | ||||||||
| LastUpdateDate: | 03/11/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 4704135726 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.