| Anne Katherine Hendricks, | |
|
4891 Miller Trunk Hwy, Hermantown, MN 55811-1512 | |
| (218) 306-8383 | |
| (218) 875-6315 |
| Full Name | Anne Katherine Hendricks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4891 Miller Trunk Hwy, Hermantown, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235850991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9509 (Minnesota) | Primary |
| Entity Name | Firefly Mental Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033971817 PECOS PAC ID: 1456896679 Enrollment ID: O20240712000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Katherine Hendricks, 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811-1563 Ph: (218) 306-8383 | Anne Katherine Hendricks, 4891 Miller Trunk Hwy, Hermantown, MN 55811-1512 Ph: (218) 306-8383 |
Pamela J Idziorek, RNNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4891 Miller Trunk Hwy, Hermantown, MN 55811 Phone: 218-626-1222 | |
Karissa Ann Haugen, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811 Phone: 218-310-8896 Fax: 218-875-6315 | |
Kimberly Ann Johnson, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811 Phone: 218-727-3888 Fax: 218-260-4772 | |
Michelle L Carl, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 | |
Christie Ehle Erickson Ix, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 Fax: 218-722-8160 | |
Elizabeth A Maas, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4190 Loberg Ave, Hermantown, MN 55811 Phone: 218-249-5555 |