| Angelica Maria Pineiro, CNP | |
|
1068 Lake St S, Forest Lake, MN 55025-2639 | |
| (407) 810-9007 | |
| (651) 982-6035 |
| Full Name | Angelica Maria Pineiro |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1068 Lake St S, Forest Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396272159 | NPI | - | NPPES |
| 1986343 | Other | MN | REGISTERED NURSE LICENSE |
| 5170 | Other | MN | APRN LICENSE |
| 1396272159 | Other | MN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1986343 (Minnesota) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 5170 (Minnesota) | Secondary |
| Entity Name | St Francis Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
| Entity Name | Vinland National Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144329632 PECOS PAC ID: 1557516184 Enrollment ID: O20130304000612 |
| Entity Name | Nuway Mental Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013608405 PECOS PAC ID: 4587108055 Enrollment ID: O20240626001623 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelica Maria Pineiro, CNP 3776 112th Ln Ne, Blaine, MN 55449-6620 Ph: (078) 109-0074 | Angelica Maria Pineiro, CNP 1068 Lake St S, Forest Lake, MN 55025-2639 Ph: (407) 810-9007 |
Mrs. Rimma Faina Winnick, NPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20555 Ingersoll Ave N, Forest Lake, MN 55025 Phone: 651-464-0267 | |
Azie Judith Khan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7211 208th Cir N, Forest Lake, MN 55025 Phone: 515-918-3955 | |
Constance Bih Awason, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19987 Enfield Ave N, Forest Lake, MN 55025 Phone: 763-670-5273 | |
Mrs. Janice Lee James, RN, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 967 Lake St S, Forest Lake, MN 55025 Phone: 651-464-1113 Fax: 651-464-0853 | |
Hawanie Makonnen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 Fax: 651-241-1515 | |
Neh Buma Foncham, PSYCHIATRIC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20416 Everton Trl N, Forest Lake, MN 55025 Phone: 651-470-3265 |