Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Katherine Mamo, FNP

Individual provider Nurse Practitioner · NPI 1679234934

Mrs. Katherine Mamo, FNP is a Nurse Practitioner in East Lansing, Michigan. Qualified in 2022, 4 years ago. Practices with Pine Hollow Partner LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224
Phone: (517) 339-1676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704330439 (MI)

Record details

NPI number1679234934
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 7, 2022
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pine Hollow Partner Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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