Tamara Lynn Whyte Kasmarik, CNP | |
17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 | |
(952) 401-8300 | |
Not Available |
Full Name | Tamara Lynn Whyte Kasmarik |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 17705 Hutchins Dr Ste 101, Minnetonka, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952373102 | NPI | - | NPPES |
046G4KA | Other | MN | BCBS |
CP9041014218 | Other | MN | PREFERRED ONE |
1202588 | Other | MN | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | R0999234 (Minnesota) | Primary |
Entity Name | South Lake Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427027184 PECOS PAC ID: 3173500303 Enrollment ID: O20040706000564 |
Mailing Address | Practice Location Address |
---|---|
Tamara Lynn Whyte Kasmarik, CNP 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 Ph: (952) 401-8300 | Tamara Lynn Whyte Kasmarik, CNP 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 Ph: (952) 401-8300 |
Mavis Osei Yeboah, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 336-549-6221 | |
Alane Renee Hartlage, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 608-286-0556 | |
Dawn M Schaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 414-477-9978 | |
Rose M Paz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 Phone: 855-247-8847 | |
Raul Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 915-218-8568 | |
Ms. Susanna Monroe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 Phone: 941-875-5890 | |
Karry Ermita Audain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 305-432-1249 |