Mrs Amanda Lee Johnson Fleming, CPNP-PC | |
11010 Prairie Lakes Dr, #350, Eden Prairie, MN 55344-3884 | |
(952) 746-2522 | |
(952) 746-0887 |
Full Name | Mrs Amanda Lee Johnson Fleming |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 11010 Prairie Lakes Dr, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417494998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | CNP4983 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Lee Johnson Fleming, CPNP-PC 1900 Silver Lake Road Nw, Suite 110, New Brighton, MN 55112 Ph: (651) 379-1764 | Mrs Amanda Lee Johnson Fleming, CPNP-PC 11010 Prairie Lakes Dr, #350, Eden Prairie, MN 55344-3884 Ph: (952) 746-2522 |
Meghan Maureen Davitt, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274 | |
Chad Lee Stencel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Prairie Center Dr Ste 200, Eden Prairie, MN 55344 Phone: 952-995-8780 Fax: 952-679-7430 | |
Rachel Maguy Pierre, ARNP-FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 888-445-8745 | |
Nimo Saleban Abdi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10067 Gristmill Rdg, Eden Prairie, MN 55347 Phone: 612-226-2747 Fax: 612-465-4884 | |
Jill Marie Scholz, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274 | |
Kristofer Bristol, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 | |
Katie L Seremet, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 Fax: 952-300-2558 |