| Barbara Lou Ennis, NP | |
| 
					331 Highway 65 S, Mora, MN 55051-1899  | |
| (320) 679-1313 | |
| (320) 225-3141 | 
| Full Name | Barbara Lou Ennis | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 331 Highway 65 S, Mora, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346202926 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R 081683 8 (Minnesota) | Primary | 
| Entity Name | County Of Kanabec | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 0648187237 Enrollment ID: O20031125000660  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Barbara Lou Ennis, NP Po Box 43, Mr 10809, Minneapolis, MN 55440-0043 Ph: (612) 262-4813  | Barbara Lou Ennis, NP 331 Highway 65 S, Mora, MN 55051-1899 Ph: (320) 679-1313  | 
Karen K Rasmusson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 331 Highway 65 S, Mora, MN 55051 Phone: 320-679-1313 Fax: 320-225-3141  | |
Lindsey Deborah Fielder, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212  | |
Mrs. Tanya Lynn Carlson, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212  | |
Jill Herges, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212  | |
Jeremiah Scott Randall, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 841 Forest Ave E Ste 210, Mora, MN 55051 Phone: 320-244-2451  | |
Rachel Ann Dahlquist, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212  |