Imo I Kalla, NP | |
2251 Connecticut Avenue S, Hp Central Mn Clinics, Sartell, MN 56377-2486 | |
(320) 253-5220 | |
(320) 203-2113 |
Full Name | Imo I Kalla |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2251 Connecticut Avenue S, Sartell, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548383664 | NPI | - | NPPES |
177515400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R118728-1 (Minnesota) | Primary |
Entity Name | Unity Family Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
Entity Name | Unity Family Healthcare |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
Mailing Address | Practice Location Address |
---|---|
Imo I Kalla, NP 8170 33rd Ave S, Ms21110q, Freeport, MN 55425-4516 Ph: (952) 883-5375 | Imo I Kalla, NP 2251 Connecticut Avenue S, Hp Central Mn Clinics, Sartell, MN 56377-2486 Ph: (320) 253-5220 |
Mrs. Rachel Raab, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2251 Connecticut Ave S, Sartell, MN 56377 Phone: 320-253-5220 | |
Sarah Haag, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
Christine Hupe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 7th Ave N, Sartell, MN 56377 Phone: 320-249-4928 | |
Tami J Huberty, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2251 Connecticut Avenue S, Hp Central Mn Clinics, Sartell, MN 56377 Phone: 320-253-5220 Fax: 320-203-2113 | |
Callie Sahr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2251 Connecticut Ave S, Sartell, MN 56377 Phone: 320-253-5220 | |
Patrick John Moser, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1725 Pine Cone Rd S, Sartell, MN 56377 Phone: 320-200-3200 | |
Kelly Ann Woods, CPNP/FPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 2nd St S, Sartell, MN 56377 Phone: 320-281-3339 Fax: 952-927-8610 |