Minuteclinic Diagnostic Of Minnesota, P.a. | |
4241 Johnny Cake Ridge Rd Eagan MN 55122-2235 | |
(866) 389-2727 | |
Not Available |
Full Name | Minuteclinic Diagnostic Of Minnesota, P.a. |
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Speciality | Nurse Practitioner |
Location | 4241 Johnny Cake Ridge Rd, Eagan, Minnesota |
Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
Authorized Official Contact | 4017703813 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Minuteclinic Diagnostic Of Minnesota, P.a. 1 Cvs Dr Mc-2995 Woonsocket RI 02895-6146 Ph: (401) 770-3813 | Minuteclinic Diagnostic Of Minnesota, P.a. 4241 Johnny Cake Ridge Rd Eagan MN 55122-2235 Ph: (866) 389-2727 |
NPI Number | 1407227945 |
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Provider Enumeration Date | 10/09/2015 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Medicare PECOS PAC ID | 7810289949 |
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Medicare Enrollment ID | O20160712000184 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407227945 | NPI | - | NPPES |
Provider Name | Ann M Riewer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376550467 PECOS PAC ID: 3577466739 Enrollment ID: I20040127001036 |
Provider Name | Mary B Sebas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447382080 PECOS PAC ID: 7416923503 Enrollment ID: I20040909000685 |
Provider Name | Catherine B Proebstle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568456168 PECOS PAC ID: 4587601240 Enrollment ID: I20050413001244 |
Provider Name | Amy J Rolfzen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336134626 PECOS PAC ID: 6204864994 Enrollment ID: I20050803000385 |
Provider Name | Melissa A Mcclellan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699794271 PECOS PAC ID: 3274568696 Enrollment ID: I20051004000650 |
Provider Name | Julie A Meyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528011848 PECOS PAC ID: 9739184474 Enrollment ID: I20061002000193 |
Provider Name | Vu N Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992991129 PECOS PAC ID: 0840370144 Enrollment ID: I20071227000379 |
Provider Name | Maurita S Lehman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699903070 PECOS PAC ID: 8628116985 Enrollment ID: I20091109000032 |
Provider Name | Kimberly R Kopitzke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801122379 PECOS PAC ID: 5294877478 Enrollment ID: I20100126000854 |
Provider Name | Elizabeth K Rose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336459205 PECOS PAC ID: 4688858434 Enrollment ID: I20110404000109 |
Provider Name | Brenda J Novacinski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851669113 PECOS PAC ID: 8527222900 Enrollment ID: I20120614000769 |
Provider Name | Jacqueline M Lohonen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710233036 PECOS PAC ID: 7911158688 Enrollment ID: I20121107000209 |
Provider Name | Wendy S Cregg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356698153 PECOS PAC ID: 6507017894 Enrollment ID: I20121114000431 |
Provider Name | Katherine M Neu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245676402 PECOS PAC ID: 3476793100 Enrollment ID: I20130701000387 |
Provider Name | Jacquelyn L Denardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598107237 PECOS PAC ID: 7911141767 Enrollment ID: I20130917000234 |
Provider Name | Lindsey Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992088348 PECOS PAC ID: 9335312065 Enrollment ID: I20131206001349 |
Provider Name | Kevin J Curtis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023433075 PECOS PAC ID: 6507089737 Enrollment ID: I20140515001878 |
Provider Name | Tara M Olson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245659903 PECOS PAC ID: 8123241767 Enrollment ID: I20140528002264 |
Provider Name | Tracy R Mueller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093122012 PECOS PAC ID: 6800015207 Enrollment ID: I20140917001760 |
Provider Name | Theresa L Hurley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689077232 PECOS PAC ID: 2769704725 Enrollment ID: I20141201002346 |
Provider Name | Elizabeth F Severance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700290319 PECOS PAC ID: 7810211877 Enrollment ID: I20150121002193 |
Provider Name | Jennifer L Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316379597 PECOS PAC ID: 2860703279 Enrollment ID: I20150625001016 |
Provider Name | Nkeiruka Sylvia Anyiam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427425750 PECOS PAC ID: 4486959236 Enrollment ID: I20160216002668 |
Provider Name | Stephanie L Deniger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366896532 PECOS PAC ID: 6305138199 Enrollment ID: I20160715000061 |
Provider Name | Norman B Mekkelsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619329687 PECOS PAC ID: 0648566182 Enrollment ID: I20160908001998 |
Provider Name | Hajnalka Draper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992253058 PECOS PAC ID: 5496043432 Enrollment ID: I20161007000173 |
Provider Name | Janice Mary Kunnakkattu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902358831 PECOS PAC ID: 2264712306 Enrollment ID: I20161208000015 |
Provider Name | Andrea Marie Balsimo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912352188 PECOS PAC ID: 0345522819 Enrollment ID: I20170117001967 |
Provider Name | Elizabeth J Ziegler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831637370 PECOS PAC ID: 9931484250 Enrollment ID: I20170328001552 |
Provider Name | Katrina M Nelson Phelan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407179955 PECOS PAC ID: 4688704729 Enrollment ID: I20170523000884 |
Provider Name | Kristin C Hangge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659569184 PECOS PAC ID: 4688750862 Enrollment ID: I20170607000303 |
Provider Name | Renee C Burk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104990118 PECOS PAC ID: 7810179496 Enrollment ID: I20170905003539 |
Provider Name | Philip J Gyura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679915706 PECOS PAC ID: 9537391818 Enrollment ID: I20170906000408 |
Provider Name | Josephat M Mutahi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801315585 PECOS PAC ID: 9830455427 Enrollment ID: I20171115001041 |
Provider Name | Christina L Fjeld |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407365745 PECOS PAC ID: 6002173101 Enrollment ID: I20171128001302 |
Provider Name | Candace Kuphal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821509936 PECOS PAC ID: 4183981632 Enrollment ID: I20171208000465 |
Provider Name | Katie L Ehlen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700138195 PECOS PAC ID: 3779841747 Enrollment ID: I20171220002281 |
Provider Name | Feng Guo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649782012 PECOS PAC ID: 3375801152 Enrollment ID: I20171228000346 |
Provider Name | Kathryn C Mcgovern |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790290195 PECOS PAC ID: 1456610195 Enrollment ID: I20180125001799 |
Provider Name | Jennifer Hibbard-kaidi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588077317 PECOS PAC ID: 3971729088 Enrollment ID: I20180228001052 |
Provider Name | Joann K Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093235533 PECOS PAC ID: 0042572471 Enrollment ID: I20180326000008 |
Provider Name | Hannah Leigh Hayes Oleary |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891284568 PECOS PAC ID: 6709131816 Enrollment ID: I20180613002204 |
Provider Name | Nicole S Dray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417448580 PECOS PAC ID: 8022365428 Enrollment ID: I20180717000821 |
Provider Name | Martha F Agada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184119711 PECOS PAC ID: 9739439308 Enrollment ID: I20180830003275 |
Provider Name | Chinwe C Eke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689858557 PECOS PAC ID: 5395099386 Enrollment ID: I20181109001384 |
Provider Name | Selase Agudu-morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891278693 PECOS PAC ID: 1951646397 Enrollment ID: I20181213000754 |
Provider Name | Lauren N Lehmkuhl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134683907 PECOS PAC ID: 2466792932 Enrollment ID: I20190319002897 |
Provider Name | Suzanne M Haley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740746189 PECOS PAC ID: 7315289238 Enrollment ID: I20190425000434 |
Provider Name | Abby Krebs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720625445 PECOS PAC ID: 9830500040 Enrollment ID: I20201119000653 |
Provider Name | Natalie Huang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588281182 PECOS PAC ID: 5193139558 Enrollment ID: I20210126000757 |
Provider Name | Kimberly Kinsella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366900839 PECOS PAC ID: 7214341692 Enrollment ID: I20210126001663 |
Provider Name | Amber Lee Pearson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457951238 PECOS PAC ID: 8729492707 Enrollment ID: I20210203000497 |
Provider Name | Vivian Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124624945 PECOS PAC ID: 1052727054 Enrollment ID: I20210316001942 |
Provider Name | Karyn Brinker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356939383 PECOS PAC ID: 5698183960 Enrollment ID: I20210427000440 |
Provider Name | Der Xiong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700465440 PECOS PAC ID: 0547679896 Enrollment ID: I20210517002584 |
Provider Name | Corey B Schuler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669662912 PECOS PAC ID: 9830283423 Enrollment ID: I20210617001854 |
Provider Name | Binh C Truong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306429857 PECOS PAC ID: 5890198303 Enrollment ID: I20210721002631 |
Provider Name | Dolly Higgs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629666318 PECOS PAC ID: 9830594118 Enrollment ID: I20210825000698 |
Provider Name | Keisha Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538737259 PECOS PAC ID: 6406251701 Enrollment ID: I20210825001415 |
Provider Name | Lisa Renee Braatz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548922883 PECOS PAC ID: 9335539550 Enrollment ID: I20211202001497 |
Provider Name | Elishia A Christians |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760150569 PECOS PAC ID: 3678964038 Enrollment ID: I20211220002365 |
Provider Name | Sarah I Hare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033886734 PECOS PAC ID: 0648510966 Enrollment ID: I20211222000607 |
Provider Name | Tenzin Chozom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710642608 PECOS PAC ID: 7214328426 Enrollment ID: I20211223000752 |
Provider Name | Megan Dutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598428872 PECOS PAC ID: 0244622090 Enrollment ID: I20220128000121 |
Provider Name | Khadra Muse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013470715 PECOS PAC ID: 1557754652 Enrollment ID: I20220214001999 |
Provider Name | Sara H Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699443424 PECOS PAC ID: 3971996844 Enrollment ID: I20220217001511 |
Provider Name | Ashley J Bjornson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780335562 PECOS PAC ID: 0840684262 Enrollment ID: I20220301002302 |
Provider Name | Miriam A Osammor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023612496 PECOS PAC ID: 2769633320 Enrollment ID: I20220304002261 |
Provider Name | Janice Gerber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528721701 PECOS PAC ID: 4284012964 Enrollment ID: I20220608002542 |
Provider Name | Ngoc-thanh Le |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942969670 PECOS PAC ID: 6800274580 Enrollment ID: I20220608002624 |
Provider Name | Yeun Hee Yang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144973538 PECOS PAC ID: 5395123087 Enrollment ID: I20220608002925 |
Provider Name | Elizabeth Takyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871248328 PECOS PAC ID: 1052790821 Enrollment ID: I20220624001391 |
Provider Name | Anne Murray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265177331 PECOS PAC ID: 2365822319 Enrollment ID: I20220707003000 |
Provider Name | Mai Moua Vang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558020578 PECOS PAC ID: 8426439563 Enrollment ID: I20220720001451 |
Provider Name | Jennifer Grosland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205595386 PECOS PAC ID: 8729463658 Enrollment ID: I20220913004113 |
Provider Name | Sharon Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942526736 PECOS PAC ID: 9638202377 Enrollment ID: I20220917000532 |
Provider Name | Karen Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669883112 PECOS PAC ID: 3779700737 Enrollment ID: I20220919003010 |
Provider Name | Sheena Ching-larson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104358381 PECOS PAC ID: 1759668247 Enrollment ID: I20220922001135 |
Provider Name | Marybeth Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619100161 PECOS PAC ID: 9830238989 Enrollment ID: I20221013001831 |
Provider Name | Sarah Kuenzel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699497974 PECOS PAC ID: 3173990157 Enrollment ID: I20221103002006 |
Provider Name | April Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760051205 PECOS PAC ID: 5890191951 Enrollment ID: I20230103000247 |
Provider Name | Ashley Childers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407563463 PECOS PAC ID: 5193196897 Enrollment ID: I20230117000495 |
Provider Name | Krista Keeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376080390 PECOS PAC ID: 8527343540 Enrollment ID: I20230207001652 |
Provider Name | Susan Fuerst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518333251 PECOS PAC ID: 3072820133 Enrollment ID: I20230207003448 |
Provider Name | Christopher Reichmuth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407565237 PECOS PAC ID: 6901279785 Enrollment ID: I20230224002039 |
Provider Name | Mai Nou Thao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598151367 PECOS PAC ID: 5092189720 Enrollment ID: I20230322000176 |
Provider Name | Arti Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427407105 PECOS PAC ID: 5890087100 Enrollment ID: I20230420002094 |
Provider Name | Sarah Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205446077 PECOS PAC ID: 8628434255 Enrollment ID: I20230523003131 |
Provider Name | Ubah Keynan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376212761 PECOS PAC ID: 4981061058 Enrollment ID: I20230605002131 |
Provider Name | Kelli Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508348590 PECOS PAC ID: 4082966395 Enrollment ID: I20230721002811 |
Provider Name | Bethany Mistone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477094936 PECOS PAC ID: 1658657317 Enrollment ID: I20230804000495 |
Provider Name | Molly Ladwig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205520632 PECOS PAC ID: 5294196358 Enrollment ID: I20230804002891 |
Provider Name | Chloe Vanlannen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801574116 PECOS PAC ID: 9234592619 Enrollment ID: I20230901000691 |
Provider Name | Jennifer Zwiefelhofer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023799418 PECOS PAC ID: 4880049279 Enrollment ID: I20231004001860 |
Provider Name | Firewoini Kebede |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518683952 PECOS PAC ID: 2769838028 Enrollment ID: I20231024001294 |
Provider Name | Victoria Kyarsgaard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689357303 PECOS PAC ID: 8426404583 Enrollment ID: I20231025002028 |
Provider Name | Rachael Master |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417732983 PECOS PAC ID: 2264888106 Enrollment ID: I20231027002616 |
Provider Name | Ashley Huber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437933850 PECOS PAC ID: 0244686855 Enrollment ID: I20231101003392 |
Provider Name | Toni Cam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154541217 PECOS PAC ID: 9830546001 Enrollment ID: I20231109000668 |
Provider Name | Vi Siiro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730960246 PECOS PAC ID: 5193172997 Enrollment ID: I20231116001551 |
Provider Name | Lora Meadows |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205614211 PECOS PAC ID: 5092162891 Enrollment ID: I20231116001623 |
Provider Name | Yer Yang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780466169 PECOS PAC ID: 4789032822 Enrollment ID: I20231129002692 |
Provider Name | Yasmin M Jemal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396137261 PECOS PAC ID: 7315256245 Enrollment ID: I20231212003326 |
Provider Name | Sabrina Bollig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649971748 PECOS PAC ID: 2961845425 Enrollment ID: I20240212003078 |
Provider Name | Jacqueline Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275305153 PECOS PAC ID: 7214372457 Enrollment ID: I20240228000865 |
Provider Name | Nardos Legamo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356121164 PECOS PAC ID: 4385080670 Enrollment ID: I20240308001700 |
Provider Name | Keona Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033647144 PECOS PAC ID: 8527326982 Enrollment ID: I20240315000096 |
Provider Name | Mayowa Okuneye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598540700 PECOS PAC ID: 2769820901 Enrollment ID: I20240405002883 |
Provider Name | Odette Allen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164949038 PECOS PAC ID: 6901274893 Enrollment ID: I20240408001046 |
Provider Name | Thomas R Godfrey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700172624 PECOS PAC ID: 0042625543 Enrollment ID: I20240412001444 |
Provider Name | Helen Hong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386255248 PECOS PAC ID: 2365824059 Enrollment ID: I20240425003288 |
Provider Name | Morgan Rowell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942853775 PECOS PAC ID: 2769712348 Enrollment ID: I20240507003641 |
Arise Mental Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397 | |
Twin Cities Play Therapy Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3440 Federal Dr, Suite 140, Eagan, MN 55122 Phone: 651-452-2305 Fax: 651-452-2796 | |
Denae Ruble Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 220d, Eagan, MN 55122 Phone: 612-940-2102 | |
Telos Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4141 Old Sibley Memorial Hwy, Eagan, MN 55122 Phone: 612-217-0650 | |
Salt And Stone Psychotherapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4141 Old Sibley Memorial Hwy, Eagan, MN 55122 Phone: 952-769-4401 | |
Sgw Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1585 Thomas Center Dr, Eagan, MN 55122 Phone: 952-715-1149 | |
Minnesota Mental Health Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 |