Renee Lynn Johnson Kotlarz, CNP, PHN, PMHNP-BC | |
114 Main St N Ste 201b, Hutchinson, MN 55350-1819 | |
(320) 752-0778 | |
(320) 753-0779 |
Full Name | Renee Lynn Johnson Kotlarz |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 114 Main St N Ste 201b, Hutchinson, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205166535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC1500X | Registered Nurse - Community Health | R1378197 (Minnesota) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9763 (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 |
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Renee Lynn Johnson Kotlarz, CNP, PHN, PMHNP-BC 114 Main St N Ste 201b, Hutchinson, MN 55350-1819 Ph: (320) 752-0778 | Renee Lynn Johnson Kotlarz, CNP, PHN, PMHNP-BC 114 Main St N Ste 201b, Hutchinson, MN 55350-1819 Ph: (320) 752-0778 |
Ms. Ann Riewer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Highway 15 S, Hutchinson, MN 55350 Phone: 763-682-1313 | |
Emily Tonn, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Main St N Ste 201b, Hutchinson, MN 55350 Phone: 651-661-6550 | |
Cassandra Green, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1095 Highway 15 S, Hutchinson, MN 55350 Phone: 320-484-4695 | |
Lori Waldera, C.N.M, F. N. P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Century Ave, Hutchinson, MN 55350 Phone: 320-587-2020 Fax: 320-484-4686 | |
Mary Therese O'fallon, CNRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Century Ave Se, Hutchinson, MN 55350 Phone: 320-587-2020 Fax: 320-234-3295 |