Elisabeth Gilead, | |
12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 | |
(952) 401-8300 | |
Not Available |
Full Name | Elisabeth Gilead |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 12000 Elm Creek Blvd N Ste 250, Maple Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598317570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 6684 (Minnesota) | Primary |
Entity Name | South Lake Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427027184 PECOS PAC ID: 3173500303 Enrollment ID: O20040706000564 |
Mailing Address | Practice Location Address |
---|---|
Elisabeth Gilead, 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 Ph: () - | Elisabeth Gilead, 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 Ph: (952) 401-8300 |
Gregory Njora Kariuki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10150 Niagara Ln N # 100, Maple Grove, MN 55369 Phone: 763-712-2100 | |
Kayla Joyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9645 Grove Cir N Ste 100, Maple Grove, MN 55369 Phone: 763-302-4114 | |
Rhonda Marie Wolfe, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 866-389-2727 | |
Kalie R Mccauley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 612-244-5325 | |
Pennelope H Fearing, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9550 Upland Ln N Ste 100, Maple Grove, MN 55369 Phone: 763-772-9820 Fax: 763-537-6666 | |
Mr. Abolfazl Kowsari, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9512 Pineview Ln N, Maple Grove, MN 55369 Phone: 763-923-5608 | |
Jill E Gauger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7368 Kirkwood Ct N, Maple Grove, MN 55369 Phone: 763-416-2280 |