Mackenzie Jane Wieser, | |
332 2nd Ave N, Wahpeton, ND 58075-4528 | |
(701) 642-7000 | |
Not Available |
Full Name | Mackenzie Jane Wieser |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 332 2nd Ave N, Wahpeton, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972280550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R44992 (North Dakota) | Primary |
Entity Name | Sanford Health Network North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
Mailing Address | Practice Location Address |
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Mackenzie Jane Wieser, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Mackenzie Jane Wieser, 332 2nd Ave N, Wahpeton, ND 58075-4528 Ph: (701) 642-7000 |
Cheri J Berge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 | |
Brooke Rae Heitkamp Hills, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 | |
Tristin Rae Dutton, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 | |
Brandee Alexandra Kuznia, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 | |
Amy Falck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 | |
Mrs. Marcia Elaine Kempton, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 | |
Patty A Lies, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 |