| Carmen Renee Grande Henke, CNNP | |
|
347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 | |
| (651) 220-6210 | |
| (651) 220-7777 |
| Full Name | Carmen Renee Grande Henke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 347 North Smith Avenue, St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205892833 | NPI | - | NPPES |
| 318656300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | R1475155 (Minnesota) | Primary |
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | R1475155 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Renee Grande Henke, CNNP 2910 Centre Pointe Drive, 35 121a, Roseville, MN 55113 Ph: (651) 855-2327 | Carmen Renee Grande Henke, CNNP 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 Ph: (651) 220-6210 |
Nancy Entgelmeier, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Ave, Childrens Specialty Clinic Feeding Clinic Stpl Mpls, St Paul, MN 55102 Phone: 651-220-6446 | |
Judy L Peterson, CNNP CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, MN 55102 Phone: 651-220-6210 Fax: 651-220-7777 | |
Rebekah A Forrest, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 Phone: 651-220-6750 Fax: 651-220-6770 | |
Karla Lynn Hurtley, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Children's Health Care, 345 North Smith Ave, St Paul, MN 55102 Phone: 651-220-6750 | |
Monica M Overkamp, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Healthpartners Specialty Center 401, 401 Phalen Blvd-mail Stop 41103b, St Paul, MN 55130 Phone: 651-254-7820 Fax: 651-254-7827 | |
Ms. Kathleen Marie Booth, RNC, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2115 Summit Ave, Student Health Services # 5056, St Paul, MN 55105 Phone: 651-962-6750 Fax: 651-962-6751 | |
Shelly A Hansen, CNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, MN 55102 Phone: 651-220-6210 Fax: 651-220-7777 |