Vicki Johnson, | |
920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 | |
(612) 659-7111 | |
(612) 659-7101 |
Full Name | Vicki Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 920 2nd Ave S, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942495361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704136195 (Michigan) | Primary |
Entity Name | Delta Renal Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407863194 PECOS PAC ID: 8224124805 Enrollment ID: O20071011000624 |
Mailing Address | Practice Location Address |
---|---|
Vicki Johnson, 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 Ph: (612) 659-7111 | Vicki Johnson, 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 Ph: (612) 659-7111 |
Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101 | |
Deborah Elkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-225-1534 | |
Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102 | |
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110 | |
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330 | |
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000 | |
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792 |