MEDICARE: NANCY O'HARE CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	4704148939	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	420001344	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1002648	OTHER	HEALTH ADVANTAGE PPO
2	9365130	OTHER	CIGNA PHCS
3	7380053	OTHER	AETNA
4	0988156	OTHER	HEALTHPLUS OF MI
5	1002648	OTHER	MCLAREN HEALTH PLAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	420G310800	OTHER	BCBS OF MICHIGAN
9	105570	OTHER	GREAT LAKES HEALTH PLAN
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	209	OTHER	COMMUNITY CHOICE OF MI
12	381908328	OTHER	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1093703860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY O'HARE CNM

Provider Business Mailing Address
First Line	:	501 LAPEER
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48607-1208
Country	:	US
Telephone Number	:	989-759-6464
Fax Number	:	989-399-8233

Provider Business Practice Location Address
First Line	:	3175 W PROFESSIONAL DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2823
Country	:	US
Telephone Number	:	989-667-3377
Fax Number	:	989-667-9991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	04/09/2021

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Directions to “ NANCY O'HARE CNM” Practice Location

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