Brianna Leigh Thomalla, CNP | |
4902 115th Ave, Clear Lake, MN 55319-9793 | |
(320) 333-6109 | |
Not Available |
Full Name | Brianna Leigh Thomalla |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 4902 115th Ave, Clear Lake, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417539057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 8026 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | St Cloud Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
Mailing Address | Practice Location Address |
---|---|
Brianna Leigh Thomalla, CNP 4902 115th Ave, Clear Lake, MN 55319-9793 Ph: (132) 033-3610 | Brianna Leigh Thomalla, CNP 4902 115th Ave, Clear Lake, MN 55319-9793 Ph: (320) 333-6109 |
Mrs. Roxanne Jo Dobrava, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8245 W Beatrice Dr, Clear Lake, MN 55319 Phone: 701-500-0794 | |
Kristy Ann Wolf, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11695 42nd St Se, Clear Lake, MN 55319 Phone: 651-341-0299 |