Dr Mariken Ellen Wogstad-hansen, PHD, LP, RN, CNS is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Saint Paul, Minnesota. Dr Mariken Ellen Wogstad-hansen is licensed to practice in Minnesota (license number R0803692) and her current practice location is
91 Snelling Ave N, Suite 230, Saint Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 603-0540.
NPI number for Dr Mariken Ellen Wogstad-hansen is 1780700039 and her current mailing address is 91 Snelling Ave N, Suite 230, Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780700039.
Healthcare Provider's Profile
| Full Name | Dr Mariken Ellen Wogstad-hansen |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
|---|
| Location | 91 Snelling Ave N, Saint Paul, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780700039
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Mariken Ellen Wogstad-hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780700039 | NPI | - | NPPES |
| 330L9WO | Other | MN | BLUE CROSS, RN, CNS |
| 385K0WO | Other | MN | BLUE CROSS, PHD, LP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | LP3116 (Minnesota) | Primary |
| 103T00000X | Psychologist | LP3116 (Minnesota) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | LP3116 (Minnesota) | Primary |
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | R0803692 (Minnesota) | Primary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | R0803692 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mariken Ellen Wogstad-hansen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mariken Ellen Wogstad-hansen, PHD, LP, RN, CNS
91 Snelling Ave N, Suite 230,
Saint Paul, MN 55104-6753
Ph: (651) 603-0540 | Dr Mariken Ellen Wogstad-hansen, PHD, LP, RN, CNS
91 Snelling Ave N, Suite 230,
Saint Paul, MN 55104-6753
Ph: (651) 603-0540 |
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