| Mary Kidder, | |
|
153 Cesar Chavez St, Saint Paul, MN 55107-2226 | |
| (651) 222-1816 | |
| (651) 602-7517 |
| Full Name | Mary Kidder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 153 Cesar Chavez St, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528020922 | NPI | - | NPPES |
| 1200702 | Other | MN | MEDICA |
| NA9021022925 | Other | MN | PREFERRED ONE |
| HP30371 | Other | MS | HEALTH PARTNERS |
| 72Q60KI | Other | MN | BCBS |
| 127696 | Other | MN | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 113653-3 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kidder, 2601 40th Ave S, Minneapolis, MN 55406-1862 Ph: () - | Mary Kidder, 153 Cesar Chavez St, Saint Paul, MN 55107-2226 Ph: (651) 222-1816 |
Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406 | |
Michelle Coleen Hicks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 | |
Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511 | |
Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000 | |
Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589 | |
Jeanne Rancone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517 | |
Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616 |