Stone Hamabwe Kabwe, CNP, APRN, FNP-C | |
12142 Business Park Blvd N, Champlin, MN 55316-4525 | |
(952) 977-0500 | |
Not Available |
Full Name | Stone Hamabwe Kabwe |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 12142 Business Park Blvd N, Champlin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376298141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9017 (Minnesota) | Secondary |
363L00000X | Nurse Practitioner | 9017 (Minnesota) | Primary |
Entity Name | West Side Community Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
Entity Name | Presence Telehealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780162552 PECOS PAC ID: 9931452430 Enrollment ID: O20181031000745 |
Mailing Address | Practice Location Address |
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Stone Hamabwe Kabwe, CNP, APRN, FNP-C 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Stone Hamabwe Kabwe, CNP, APRN, FNP-C 12142 Business Park Blvd N, Champlin, MN 55316-4525 Ph: (952) 977-0500 |
Mrs. Olitha Jamesetta Fofana, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10911 Rhode Island Cir N, Champlin, MN 55316 Phone: 763-493-2947 | |
Prince Nde Aloh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Holly M Jensrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-0790 | |
Janet M Siciliano, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 612-427-9620 Fax: 612-247-9626 | |
Mrs. Amy Rasmussen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N Fl 1, Champlin, MN 55316 Phone: 651-503-1994 | |
Micah Nicole Vande Vegte, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 E River Pkwy Unit 428, Champlin, MN 55316 Phone: 712-395-8621 |