Diana Francis Niblack, NP | |
1200 6th Ave N, Saint Cloud, MN 56303-2735 | |
(320) 240-2206 | |
Not Available |
Full Name | Diana Francis Niblack |
---|---|
Gender | Female |
Speciality | Internal Medicine - Nephrology |
Location | 1200 6th Ave N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275255721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 9370 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Carris Health - Redwood Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
Entity Name | Centracare Clinic Southwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
Mailing Address | Practice Location Address |
---|---|
Diana Francis Niblack, NP 150 Hartman Cir Ne, Fridley, MN 55432-4121 Ph: () - | Diana Francis Niblack, NP 1200 6th Ave N, Saint Cloud, MN 56303-2735 Ph: (320) 240-2206 |
Bradley E Currier, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-240-2205 Fax: 320-229-5174 | |
Bharath Manu Akkara Veetil, MBBS Nephrology Medicare: May Accept Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
Kamiab Delfanian, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303 Phone: 320-229-5099 Fax: 320-229-5171 | |
Jyh-yau Tsaur, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
John D Olsen, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Mark J Martone, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Matthew Eggebrecht, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 |