Colten Peter Thewis, FNP | |
1615 Maple Ln, Ashland, WI 54806-3689 | |
(715) 685-5500 | |
Not Available |
Full Name | Colten Peter Thewis |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1615 Maple Ln, Ashland, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457096810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11927-33 (Wisconsin) | Primary |
Entity Name | Memorial Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
Mailing Address | Practice Location Address |
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Colten Peter Thewis, FNP 1615 Maple Ln, Ashland, WI 54806-3689 Ph: (715) 685-5240 | Colten Peter Thewis, FNP 1615 Maple Ln, Ashland, WI 54806-3689 Ph: (715) 685-5500 |
Ms. Melissa Jean Malmberg, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500 | |
Dana R Katchka, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Main St W, Ashland, WI 54806 Phone: 715-685-2200 Fax: 715-685-1185 | |
Carol Bushman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Ln Ste 1, Ashland, WI 54806 Phone: 715-685-7500 | |
Carrie L Alajoki, DNP, MSN, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Main St W, Ashland, WI 54806 Phone: 715-682-5601 Fax: 715-682-6878 | |
Mary Lee Vitek, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806 Phone: 715-685-7500 | |
Pamela Rutter, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Maple Ln, Ashland, WI 54806 Phone: 715-685-7500 |