Nicholas Ethan Dull, NP | |
733 W Clairemont Ave, Eau Claire, WI 54701-6101 | |
(715) 838-5222 | |
Not Available |
Full Name | Nicholas Ethan Dull |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 733 W Clairemont Ave, Eau Claire, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235830100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 14059 (Wisconsin) | Primary |
Entity Name | Geiger Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700234978 PECOS PAC ID: 2163719626 Enrollment ID: O20160927001350 |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
Mailing Address | Practice Location Address |
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Nicholas Ethan Dull, NP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Nicholas Ethan Dull, NP 733 W Clairemont Ave, Eau Claire, WI 54701-6101 Ph: (715) 838-5222 |
Hope C. St Jean, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-3311 | |
Mrs. Kaitlyn Anne Bodette, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311 | |
Brenda Lynn Marcy, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2240 Eastridge Ctr, Eau Claire, WI 54701 Phone: 715-838-7372 Fax: 715-838-2910 | |
Rhiannon C Riley, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger Street, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Carla Griggs, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5211 | |
Emily Anne Riechers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Karen Joy Johnson, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2116 Craig Rd, Eau Claire, WI 54701 Phone: 715-858-4646 |