Ms Bonnie Bryde Malmberg, MSN, CNNP | |
3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | |
(763) 520-5580 | |
Not Available |
Full Name | Ms Bonnie Bryde Malmberg |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Neonatal, Critical Care |
Location | 3300 Oakdale Ave N, Robbinsdale, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053620849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 192891-6 (Minnesota) | Primary |
Entity Name | Children's Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
Mailing Address | Practice Location Address |
---|---|
Ms Bonnie Bryde Malmberg, MSN, CNNP 1801 2nd St N, Stillwater, MN 55082-4255 Ph: (612) 600-6665 | Ms Bonnie Bryde Malmberg, MSN, CNNP 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 520-5580 |
Michaela Anne Mclain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5110 | |
Kate Chies, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-9392 | |
Aiyana Alexandra Dorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-5400 | |
Evan Sieve Johnson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 | |
Holley Gullickson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N, Suite 605, Robbinsdale, MN 55422 Phone: 763-520-2940 | |
Mary Shields, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422 Phone: 763-587-7737 Fax: 763-587-7069 | |
Allysa Jacobson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-5372 |