Gretchen A Moen, CPNP | |
2530 Horizon Dr, Burnsville, MN 55337-3091 | |
(651) 209-8640 | |
(651) 209-8690 |
Full Name | Gretchen A Moen |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2530 Horizon Dr, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922034933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | R1162002 (Minnesota) | Primary |
Entity Name | Dakota Child And Family Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124377296 PECOS PAC ID: 2365676244 Enrollment ID: O20131008001181 |
Mailing Address | Practice Location Address |
---|---|
Gretchen A Moen, CPNP 4734 Westminster Cir, Eagan, MN 55122-2756 Ph: (651) 456-0127 | Gretchen A Moen, CPNP 2530 Horizon Dr, Burnsville, MN 55337-3091 Ph: (651) 209-8640 |
Jeremy Leclaire, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-460-4000 | |
Chara J Anderson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-892-7190 Fax: 952-892-7956 | |
Michelle L Paulsen, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-892-7190 Fax: 952-892-7956 | |
Rebecca Suess, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13903 Aldrich Ave S, Burnsville, MN 55337 Phone: 952-479-0603 | |
Ms. Therese Mary Maas, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14551 County Road 11 Ste 100, Burnsville, MN 55337 Phone: 952-841-2345 Fax: 952-841-2346 | |
Sherri Fuller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Suite 200, Burnsville, MN 55337 Phone: 952-460-4000 Fax: 952-460-4000 | |
Dr. Pennie Elizabeth Bucilla, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Mcandrews Rd W, Burnsville, MN 55337 Phone: 952-892-9393 Fax: 952-800-8892 |