| Angela Lynn Farris, NP | |
|
1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | |
| (651) 439-1234 | |
| (651) 275-3325 |
| Full Name | Angela Lynn Farris |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477288736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9012 (Minnesota) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 9012 (Minnesota) | Secondary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Summit Orthopedics Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306899463 PECOS PAC ID: 8921900374 Enrollment ID: O20040126000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Lynn Farris, NP 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Angela Lynn Farris, NP 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 439-1234 |
Dr. Tracy J Cowell, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 | |
Brianna Lee Pankratz, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1715 Tower Dr W Ste 100, Stillwater, MN 55082 Phone: 651-390-5001 Fax: 651-390-5002 | |
Laura J Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 | |
Leah Rae Bauer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 | |
David Benjamin Clark, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Katherine A Niemann, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-351-0827 | |
Jessica Acker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 |