Emily Marie Johanneck, CNP | |
201 N Broad St Ste 200, Mankato, MN 56001-3569 | |
(507) 200-2624 | |
Not Available |
Full Name | Emily Marie Johanneck |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 201 N Broad St Ste 200, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477269835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9902 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Emily Marie Johanneck, CNP 721 Grant Ave, North Mankato, MN 56003-2944 Ph: (507) 461-7223 | Emily Marie Johanneck, CNP 201 N Broad St Ste 200, Mankato, MN 56001-3569 Ph: (507) 200-2624 |
Cassy Kay Burton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Elizabeth Cumberland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Omar G Ferrer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Laura Renee Fisher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Mrs. Season Marie Hoffman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 | |
Darla R Theobald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Danielle Wendinger, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 |