Provider Demographics
NPI:1053803965
Name:POCHEKI, NADZIEJA NICOLE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:NADZIEJA
Middle Name:NICOLE
Last Name:POCHEKI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOWAGIAC
Mailing Address - State:MI
Mailing Address - Zip Code:49047-1640
Mailing Address - Country:US
Mailing Address - Phone:269-919-2008
Mailing Address - Fax:
Practice Address - Street 1:420 W HIGH ST
Practice Address - Street 2:
Practice Address - City:DOWAGIAC
Practice Address - State:MI
Practice Address - Zip Code:49047-1943
Practice Address - Country:US
Practice Address - Phone:269-782-8651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704299743207P00000X, 363LF0000X
IN71008589B363L00000X
IN71008589A363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI44704299743OtherMICHIGAN RN LICENSE WITH NURSE PRACTITIONER SPECIALTY
IN28213406AOtherINDIANA RN LICENSE
IN71008589AOtherPRESCRIPTIVE AUTHORITY
IN71008589BOtherCONTROLLED SUBSTANCE REGISTRATION
MIMP5536303OtherDEA
IN28213406AOtherINDIANA RN LICENSE