Courtney Jean Moore, APRN, CNM | |
2635 University Ave W, Saint Paul, MN 55114-1270 | |
(651) 254-3500 | |
Not Available |
Full Name | Courtney Jean Moore |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2635 University Ave W, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1649651639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | CNM 0268 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Healtheast Medical Research Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Mailing Address | Practice Location Address |
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Courtney Jean Moore, APRN, CNM 2606 Chicago Ave, Minneapolis, MN 55407-3706 Ph: (612) 545-5311 | Courtney Jean Moore, APRN, CNM 2635 University Ave W, Saint Paul, MN 55114-1270 Ph: (651) 254-3500 |
Mrs. Renee Lynn Clark, DNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-602-7500 | |
Ms. Jessica Ranallo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-967-5584 Fax: 651-293-8232 | |
Sara Elizabeth Jennerjohn, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2635 University Ave W Ste 160, Saint Paul, MN 55114 Phone: 651-254-3500 | |
Mary E Skorczeski, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2635 University Ave, Ste 160 Mail Stop 13901b, Saint Paul, MN 55114 Phone: 651-254-3500 Fax: 651-254-3699 | |
Ms. Emily Rumsey, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 895 7th St E, Saint Paul, MN 55106 Phone: 651-602-7500 | |
Tamara Jackman, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517 | |
Ann Magdalen Bruce, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 |