| Brynn Lacey Hanken, APRN, CNP | |
|
2287 Timberidge Ln Se, Rochester, MN 55904-5018 | |
| (507) 219-1712 | |
| Not Available |
| Full Name | Brynn Lacey Hanken |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2287 Timberidge Ln Se, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114672490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8587 (Minnesota) | Primary |
| Entity Name | Selah Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215676747 PECOS PAC ID: 5597146852 Enrollment ID: O20220718001776 |
| Mailing Address | Practice Location Address |
|---|---|
| Brynn Lacey Hanken, APRN, CNP 2287 Timberidge Ln Se, Rochester, MN 55904-5018 Ph: (507) 219-1712 | Brynn Lacey Hanken, APRN, CNP 2287 Timberidge Ln Se, Rochester, MN 55904-5018 Ph: (507) 219-1712 |
Nicole S Nipper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Brandi D'souza, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joan Grotewold, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5067 55th St Sw, Rochester, MN 55901 Phone: 507-292-7070 | |
Amy Behnken, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Judith Akinyi Okoth Dogo, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Christopher Dirkes, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Ms. Katrina L Gabelko, APRN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 7th St Nw, Rochester, MN 55901 Phone: 507-211-5186 |