MEDICARE: KATHERINE MARI NERRETER 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	4704120873	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00025443	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	141768	OTHER		GREAT LAKES HEALTH PLAN
3	1009318	OTHER		HEALTH ADVANTAGE PPO
4	381908328	OTHER		TRICARE
5	420N310800	OTHER	MI	BCBS
6	1009318	OTHER		MCLAREN HEALTH PLAN
7	4527251	OTHER	MI	MOLINA HEALTH CARE
8	055	OTHER	MI	COMMUNITY CHOICE
9	0996207	OTHER	MI	HEALTHPLUS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	7120498	OTHER		AETNA
12	9365447	OTHER		CIGNA

General Provider Information

NPI Number	:	1467440214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE MARI NERRETER CNM

Provider Business Mailing Address
First Line	:	501 LAPEER AVE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48607-1208
Country	:	US
Telephone Number	:	989-759-6400
Fax Number	:	989-759-6423

Provider Business Practice Location Address
First Line	:	3175 PROFESSIONAL DRIVE
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	:	02/25/2010

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Directions to “ KATHERINE MARI NERRETER CNM” Practice Location

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