Prince Nde Aloh, | |
11269 Jefferson Hwy N, Champlin, MN 55316-3123 | |
(763) 236-0600 | |
Not Available |
Full Name | Prince Nde Aloh |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 11269 Jefferson Hwy N, Champlin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194439935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F12220553 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10126 (Minnesota) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Prince Nde Aloh, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Prince Nde Aloh, 11269 Jefferson Hwy N, Champlin, MN 55316-3123 Ph: (763) 236-0600 |
Mrs. Olitha Jamesetta Fofana, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10911 Rhode Island Cir N, Champlin, MN 55316 Phone: 763-493-2947 | |
Holly M Jensrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-0790 | |
Stone Hamabwe Kabwe, CNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 | |
Janet M Siciliano, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 612-427-9620 Fax: 612-247-9626 | |
Mrs. Amy Rasmussen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N Fl 1, Champlin, MN 55316 Phone: 651-503-1994 | |
Micah Nicole Vande Vegte, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 E River Pkwy Unit 428, Champlin, MN 55316 Phone: 712-395-8621 |