NICOLETTE MABB (NPI# 1629487632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629487632 |
| Entity Type | Individual |
| Full Name | NICOLETTE MABB |
| Credential | DNP, ARNP, PMHNP-BC |
| Practice Address |
709 W Main St Manchester IA 52057-1526 |
| Mailing Address |
37822 Us Highway 18 Prairie Du Chien WI 53821-8416 |
| Practice Telephone | 5639277777 |
| Mailing Telephone | 6083572430 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6249 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G122642 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
709 W MAIN ST |
| City | MANCHESTER |
| State | IA |
| Zip Code | 52057-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255339800 | C. Dan Meyer | Physician Assistant | 709 W Main St, Manchester, IA 52057-1526 | 2005-07-08 |
| 1407454044 | Derek Manson Dzaboff | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2020-10-15 |
| 1063033413 | Nicole Brehm | Social Worker | 709 W Main St, Manchester, IA 52057-1526 | 2020-04-27 |
| 1225666894 | Kaitlin Rose Reece | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2020-03-30 |
| 1083105779 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 709 W Main St, Manchester, IA 52057-1526 | 2018-05-29 |
| 1609306398 | Cara Paris | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2017-06-14 |
| 1114456308 | Jodi Helle | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2017-06-09 |
| 1659800480 | Stephanie Gudenkauf | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2017-06-06 |
| 1124552591 | Molly Olson | Family Medicine | 709 W Main St, Manchester, IA 52057-1526 | 2017-04-12 |
| 1548615206 | Joshua C Mann | Physician Assistant | 709 W Main St, Manchester, IA 52057-1526 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407386246 | Jennifer Ann Hentges | Social Worker | 118 West Main Professional Park Building, Manchester, IA 52057 | 2017-06-14 |
| 1588193940 | Lucas Richard Fangmann | Physical Therapist | 313 Quaker Mill Dr, Manchester, IA 52057 | 2017-06-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1215072723 | Delaware County Community Services | Case Management | 601 Grant St, Manchester, IA 52057 | 2007-02-21 |
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1336105030 | David L James | Chiropractor | 200 N Franklin, Manchester, IA 52057 | 2006-04-22 |
| 1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1255818878 | Melissa Wessels | Chiropractor | 105 E Butler St, Manchester, IA 52057 | 2018-07-26 |
| 1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
| Find all providers in zip 52057 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
| 1033757893 | Joanna Mrozek | Nurse Practitioner | 270 Oak St, Manchester, CT 06040-5563 | 2019-12-11 |
| 1821575929 | Maria D. Ruiz | Nurse Practitioner | 25 Middle Tpke W, Manchester, CT 06040-4045 | 2018-07-23 |
| 1881104826 | Progressive Psychiatric Services, Pllc | Nurse Practitioner | 771 Chestnut Street, Manchester, NH 03104-3011 | 2017-10-04 |
| 1689045338 | Pat Buth | Nurse Practitioner | 111 Amherst Dr, Manchester, CT 06042-8543 | 2015-10-07 |
| 1730589615 | Lisa Weldon | Nurse Practitioner | 771 Chestnut St, Manchester, NH 03104-3011 | 2014-08-28 |
| 1265598056 | Albert S Ward | Nurse Practitioner | 30 Canton St., Suite 13, Manchester, NH 03103 | 2006-12-28 |
| 1851472427 | Rodney C Patterson | Nurse Practitioner | 715 Big Oak Dr, Manchester, TN 37355-7808 | 2006-10-18 |
| 1932121340 | Barbara D. Steele | Nurse Practitioner | 913 Elm St, Suite 511, Manchester, NH 03101-2005 | 2006-07-24 |
| 1952359192 | Pennie Marie Kane | Nurse Practitioner | 27 Lowell St, Suite 205, Manchester, NH 03101-1646 | 2006-05-04 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 52057 |
Please comment or provide details below to improve the information on NICOLETTE MABB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.