Ivy May Debruycker, APRN, CNP | |
1406 6th Ave N, Saint Cloud, MN 56303-1900 | |
(320) 255-5746 | |
Not Available |
Full Name | Ivy May Debruycker |
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Gender | Female |
Speciality | Nurse Practitioner - Neonatal, Critical Care |
Location | 1406 6th Ave N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265136360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 2479164 (Minnesota) | Secondary |
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 10072 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Carris Health Llc |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
Mailing Address | Practice Location Address |
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Ivy May Debruycker, APRN, CNP 32604 Upland Rd, Taylors Falls, MN 55084-1828 Ph: (254) 709-2845 | Ivy May Debruycker, APRN, CNP 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 255-5746 |
Angela Dorothy Moscho, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6378 | |
Mandy Fay Krippner, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Lindsey Beckman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 701-373-1826 | |
Kristen J Heffern, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-251-8181 Fax: 320-257-1733 | |
Naomi Maangi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 25th Ave N, Saint Cloud, MN 56303 Phone: 320-202-1909 | |
Jessica Hollenkamp, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
Rebecca Kastanek, APRN, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1406 6th Ave N, Rehabilitation Services St.cloud Hospital, Saint Cloud, MN 56303 Phone: 320-255-5740 Fax: 320-656-7155 |