Basic Information
| Provider Information | |||||||||
| NPI: | 1467440214 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NERRETER | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | MARI | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 LAPEER AVE | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486071208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897596400 | ||||||||
| FaxNumber: | 9897596423 | ||||||||
| Practice Location | |||||||||
| Address1: | 3175 PROFESSIONAL DRIVE | ||||||||
| Address2: | |||||||||
| City: | BAY CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487062823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9896673377 | ||||||||
| FaxNumber: | 9896679991 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2005 | ||||||||
| LastUpdateDate: | 02/25/2010 | ||||||||
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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 | 367A00000X | 4704120873 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | 141768 | 01 | GREAT LAKES HEALTH PLAN | OTHER | P00025443 | 01 | RAILROAD MEDICARE | OTHER | 1009318 | 01 | HEALTH ADVANTAGE PPO | OTHER | 381908328 | 01 | TRICARE | OTHER | 420N310800 | 01 | MI | BCBS | OTHER | 1009318 | 01 | MCLAREN HEALTH PLAN | OTHER | 4527251 | 01 | MI | MOLINA HEALTH CARE | OTHER | 055 | 01 | MI | COMMUNITY CHOICE | OTHER | 0996207 | 01 | MI | HEALTHPLUS | OTHER | 4527251 | 05 | MI | MEDICAID | 7120498 | 01 | AETNA | OTHER | 9365447 | 01 | CIGNA | OTHER |