Advanced Practice Psyc Services, Inc | |
11800 Singletree Ln Suite 204 Eden Prairie MN 55344-5328 | |
(952) 322-8532 | |
(952) 322-8513 |
Full Name | Advanced Practice Psyc Services, Inc |
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Speciality | Clinic/Center |
Location | 11800 Singletree Ln, Eden Prairie, Minnesota |
Authorized Official Name and Position | Mary Margaret Andersen (CLINICAL NURSE SPECIALIST) |
Authorized Official Contact | 9523228532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Practice Psyc Services, Inc 11800 Singletree Ln Suite 204 Eden Prairie MN 55344-5328 Ph: (952) 322-8532 | Advanced Practice Psyc Services, Inc 11800 Singletree Ln Suite 204 Eden Prairie MN 55344-5328 Ph: (952) 322-8532 |
NPI Number | 1811162746 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Medicare PECOS PAC ID | 8527128651 |
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Medicare Enrollment ID | O20081119000846 |
Identifier | Type | State | Issuer |
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1811162746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Provider Name | Mary M Andersen |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1033285564 PECOS PAC ID: 7416904610 Enrollment ID: I20050331000059 |
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