Danielle Jo Mullin, APRN, CNP | |
275 11th St S, Wahpeton, ND 58075-4655 | |
(701) 642-2000 | |
(701) 671-4106 |
Full Name | Danielle Jo Mullin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 275 11th St S, Wahpeton, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730748948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | R41310 (North Dakota) | Primary |
Entity Name | Innovis Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
Mailing Address | Practice Location Address |
---|---|
Danielle Jo Mullin, APRN, CNP 400 E 3rd Street, Duluth, MN 55805-1951 Ph: () - | Danielle Jo Mullin, APRN, CNP 275 11th St S, Wahpeton, ND 58075-4655 Ph: (701) 642-2000 |
Cheri J Berge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 | |
Brooke Rae Heitkamp Hills, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 | |
Tristin Rae Dutton, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 | |
Brandee Alexandra Kuznia, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 | |
Amy Falck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 | |
Mrs. Marcia Elaine Kempton, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 | |
Patty A Lies, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 |