Provider Demographics
NPI:1902988777
Name:NOWKA, CATHERINE H (FNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:H
Last Name:NOWKA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 S. NICOLET STREET
Mailing Address - Street 2:P.O. BOX 868
Mailing Address - City:MACKINAW CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49701
Mailing Address - Country:US
Mailing Address - Phone:231-436-9900
Mailing Address - Fax:231-436-5357
Practice Address - Street 1:580 S. NICOLET STREET
Practice Address - Street 2:
Practice Address - City:MACKINAW CITY
Practice Address - State:MI
Practice Address - Zip Code:49701
Practice Address - Country:US
Practice Address - Phone:231-436-9900
Practice Address - Fax:231-436-5357
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704135726363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily