Individual provider · Type 1 NPI

Nicole Kanomata, FNP

Family Nurse Practitioner · Manistee, MI

NPI number 1366165102 Active

Practice location

1465 E Parkdale Ave
Manistee, MI 49660-9709

Fax (231) 876-6430

Mailing address

1105 Sixth St
Traverse City, MI 49684-2386

Other practice locations

  • 217 S Madison St, Traverse City, MI 49684-2321 · (231) 392-8400
  • 400 Hobart St, Cadillac, MI 49601-2331 · (231) 876-6421

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF10220404 (MI)

Family Nurse Practitioner: Definition to come...

31 other providers at this address

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About NPI 1366165102

Nicole Kanomata, FNP's National Provider Identifier is 1366165102, issued on Sep 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manistee, MI. The record was last updated on Jan 15, 2025.