| Antonette Trapp, APRN | |
|
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
| (651) 982-7000 | |
| Not Available |
| Full Name | Antonette Trapp |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 5200 Fairview Blvd, Wyoming, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174914428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | R 129203-7 (Minnesota) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 3680 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonette Trapp, APRN 223 Galaxy Dr, Circle Pines, MN 55014-1611 Ph: (651) 214-5823 | Antonette Trapp, APRN 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7000 |
Molly Levy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600 | |
Jakiann Marie Mork, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7893 | |
Nancy Middlestead, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Megan Ann Merrill, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Suzanne S Rusk, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Boulevard, Fairview Lakes Pediatrics, Wyoming, MN 55092 Phone: 651-682-7340 Fax: 651-982-7349 | |
Jessica Lee Tomlin Brunfelt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600 |