Faith Lorraine Liedholm Matsch Hicks, NP | |
701 Dellwood St S, Cambridge, MN 55008-1923 | |
(763) 689-7700 | |
Not Available |
Full Name | Faith Lorraine Liedholm Matsch Hicks |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 701 Dellwood St S, Cambridge, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346934973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10310 (Minnesota) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
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Faith Lorraine Liedholm Matsch Hicks, NP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-2233 | Faith Lorraine Liedholm Matsch Hicks, NP 701 Dellwood St S, Cambridge, MN 55008-1923 Ph: (763) 689-7700 |
Samantha Frances Jezeski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 | |
Sarah Hary, MSN, APRN, ADNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 Fax: 763-688-7941 | |
Seth Steven Witthuhn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 Fax: 763-688-7747 | |
Sue Jean Morrow, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 | |
Kristy Lee Witthuhn, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 Fax: 763-688-7941 | |
Jenny Bliss, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-688-8700 |