| Tricia M Iten-maly, AUDIOLOGIST | |
|
701 Park Ave, Minneapolis, MN 55415-1623 | |
| (612) 873-6173 | |
| (612) 630-8230 |
| Full Name | Tricia M Iten-maly |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 701 Park Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316972961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 5982 (Minnesota) | Primary |
| Provider Name | Hennepin Healthcare System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Tricia M Iten-maly, AUDIOLOGIST 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-6005 | Tricia M Iten-maly, AUDIOLOGIST 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-6173 |
Dr. Ann Westerback, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 | |
Ronni Michele Molinaro, MA CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2211 Park Ave So, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Mr. Aaron Penn, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 651-467-4084 | |
Yingjiu Nie, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 701 25th Ave S, Suite 200, Minneapolis, MN 55454 Phone: 612-339-2836 Fax: 612-339-9741 | |
Annette E Hurley, PHD Audiologist Medicare: Medicare Enrolled Practice Location: 1800 2nd St Ne, Minneapolis, MN 55418 Phone: 612-789-1236 Fax: 612-706-5555 | |
Dr. Thomas J Tedeschi, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 150 S 5th St Ste 2300, Minneapolis, MN 55402 Phone: 763-268-4051 | |
Julie Ann Klosterman, MS CCCA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave So, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 |