Taylor A Soular, CNP, FNP-C | |
4570 Cty. Hwy. 61, Moose Lake, MN 55767-9401 | |
(218) 485-4491 | |
(218) 485-4724 |
Full Name | Taylor A Soular |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4570 Cty. Hwy. 61, Moose Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114692712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2276049 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 8453 (Minnesota) | Primary |
Entity Name | Gateway Family Health Clinic, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
Mailing Address | Practice Location Address |
---|---|
Taylor A Soular, CNP, FNP-C 4570 Cty. Hwy. 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4491 | Taylor A Soular, CNP, FNP-C 4570 Cty. Hwy. 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4491 |
Faith A. Manty, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-485-4481 Fax: 218-485-5866 | |
Sonja M. Roach, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4570 County Highway 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Jonathan Franklin Klingaman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 | |
Genevieve M Swenson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Keri Ann Ovsak, RN, MA, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 Fax: 218-565-6240 | |
Mr. Gregory Raymond Larson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-785-2015 |