Nicole Sheppard, | |
6600 France Ave S Ste 230, Edina, MN 55435-1810 | |
(651) 358-2163 | |
Not Available |
Full Name | Nicole Sheppard |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6600 France Ave S Ste 230, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275194672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC02126 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Nicole Sheppard, 1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 Ph: () - | Nicole Sheppard, 6600 France Ave S Ste 230, Edina, MN 55435-1810 Ph: (651) 358-2163 |
Stephen Wayne Peterson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd Ste 220, Edina, MN 55439 Phone: 952-220-7164 | |
Elizabeth Kaye Dumke, MS, LPCC, ATR Counselor Medicare: Medicare Enrolled Practice Location: 4820 W 77th St Ste 130, Edina, MN 55435 Phone: 651-313-8080 Fax: 651-925-0610 | |
John Rundquist, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7250 Metro Blvd Ste 100, Edina, MN 55439 Phone: 612-374-0506 Fax: 651-323-2051 | |
Jille Neiman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7602 York Ave S Apt 7115, Edina, MN 55435 Phone: 612-251-8320 | |
Mr. Kyle J Slawson, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 7301 Ohms Ln Ste 450, Edina, MN 55439 Phone: 952-831-2000 | |
Tessa Elizabeth Larson Wolden, ATR, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7401 Metro Blvd Ste 250, Edina, MN 55439 Phone: 612-268-5858 | |
Kristine Thielen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd Ste 427, Edina, MN 55439 Phone: 866-822-7464 |