Tamara Lea Kittleson, | |
6600 France Ave S Ste 415, Edina, MN 55435-1804 | |
(952) 303-6832 | |
Not Available |
Full Name | Tamara Lea Kittleson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 6600 France Ave S Ste 415, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194379214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 6765 (Minnesota) | Primary |
Entity Name | Pinnacle Behavioral Healthcare, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356629232 PECOS PAC ID: 3274793807 Enrollment ID: O20120320000021 |
Mailing Address | Practice Location Address |
---|---|
Tamara Lea Kittleson, 5520 Aldrich Ave S, Minneapolis, MN 55419-1734 Ph: (612) 327-0803 | Tamara Lea Kittleson, 6600 France Ave S Ste 415, Edina, MN 55435-1804 Ph: (952) 303-6832 |
Vicki I Buth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6545 France Ave S, Ste 540, Edina, MN 55435 Phone: 952-927-4045 Fax: 952-924-4133 | |
Allison Dillon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-914-1733 | |
Sarah Marie Nolan-holicky, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-836-3637 | |
Stephen Swenson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8100 W 78th St Ste 230, Edina, MN 55439 Phone: 952-946-9777 | |
Lisa Kae Feese, RN CDE FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7701 York Ave S, Suite 180, Edina, MN 55435 Phone: 952-927-7810 Fax: 952-927-6309 | |
Kelley F Grotting, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4010 W 65th St, Edina, MN 55435 Phone: 952-456-7000 Fax: 952-456-7001 | |
Jennifer B Galang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W200, Edina, MN 55435 Phone: 952-924-9005 Fax: 952-924-0330 |