Grace Louise Fautsch, | |
6401 France Ave S Ofc Ll3-f1, Edina, MN 55435-2104 | |
(952) 924-5000 | |
(612) 365-0337 |
Full Name | Grace Louise Fautsch |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 6401 France Ave S Ofc Ll3-f1, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477323509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11170 (Minnesota) | Primary |
Entity Name | Healtheast Medical Research Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Grace Louise Fautsch, 6401 France Ave S # Ll3-f1, Edina, MN 55435-2104 Ph: (952) 924-5888 | Grace Louise Fautsch, 6401 France Ave S Ofc Ll3-f1, Edina, MN 55435-2104 Ph: (952) 924-5000 |
Vicki I Buth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6545 France Ave S, Ste 540, Edina, MN 55435 Phone: 952-927-4045 Fax: 952-924-4133 | |
Allison Dillon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-914-1733 | |
Sarah Marie Nolan-holicky, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-836-3637 | |
Stephen Swenson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8100 W 78th St Ste 230, Edina, MN 55439 Phone: 952-946-9777 | |
Lisa Kae Feese, RN CDE FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7701 York Ave S, Suite 180, Edina, MN 55435 Phone: 952-927-7810 Fax: 952-927-6309 | |
Kelley F Grotting, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4010 W 65th St, Edina, MN 55435 Phone: 952-456-7000 Fax: 952-456-7001 | |
Jennifer B Galang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W200, Edina, MN 55435 Phone: 952-924-9005 Fax: 952-924-0330 |