Korena Marie Katherine Kemerling-theobald, NNP-BC | |
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
(612) 365-6777 | |
Not Available |
Full Name | Korena Marie Katherine Kemerling-theobald |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Neonatal, Critical Care |
Location | 2450 Riverside Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063069284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 6956 (Minnesota) | Secondary |
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 11387 (Wisconsin) | Primary |
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Mailing Address | Practice Location Address |
---|---|
Korena Marie Katherine Kemerling-theobald, NNP-BC E9674 County Road Ss, Viroqua, WI 54665-7155 Ph: (608) 386-8463 | Korena Marie Katherine Kemerling-theobald, NNP-BC 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-6777 |
Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101 | |
Deborah Elkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-225-1534 | |
Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102 | |
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110 | |
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330 | |
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000 | |
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792 |