Michaela May Omatick, CRNP
Individual provider Active NPI Adult Health Nurse Practitioner · Dover, PA
NPI 1174860985 · NPPES record last updated Oct 7, 2015
Key facts
- NPI
- 1174860985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- SP012698 (PA)
- Practice address
- 4128 Strawbridge CT
Dover, PA 17315-4264 - Phone
- (717) 858-7414
- NPI assigned
- Jan 14, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices Healthcare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP012698 | PA | Yes |
Addresses
Primary practice location
4128 Strawbridge CT
Dover, PA 17315-4264
Mailing address
4128 Strawbridge CT
Dover, PA 17315-4264
Phone (717) 858-7414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1616256 | Other | PA | GATEWAY MEDICARE ASSURED |
Other names
- Michaela May Allison
Other providers in Dover, PA
- Athena Louise Nadzan
- Rajesh Kumar Nallapati
- Tin Nguyen
- Jessica Olewine
- Harald Olsen
- On Point Health Services LLC
- Gerard Paradise
- Ronald Larry Paul
- James W Paup
- Pennsylvania CVS Pharmacy, L.L.C.
All providers in Dover, PA · Adult Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.