| Christina Beth Ische, CNP | |
|
39 10th St W Apt 201, Waconia, MN 55387-2801 | |
| (612) 384-0174 | |
| Not Available |
| Full Name | Christina Beth Ische |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 39 10th St W Apt 201, Waconia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336979947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 11933 (Minnesota) | Primary |
| Entity Name | Matrix Medical Plus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Beth Ische, CNP 39 10th St W Apt 201, Waconia, MN 55387-2801 Ph: (612) 384-0174 | Christina Beth Ische, CNP 39 10th St W Apt 201, Waconia, MN 55387-2801 Ph: (612) 384-0174 |
Sean Deane Lejonvarn, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 W Lake St, Waconia, MN 55387 Phone: 763-232-1209 Fax: 833-630-0621 |
Angela Lynn Hauth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 |
Jackie L Collins, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 E Main St, Waconia, MN 55387 Phone: 866-389-2727 |
Sara Maurer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 |
Sarah Palmer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 S Cherry St, Waconia, MN 55387 Phone: 952-260-2055 |
Cindy Doyscher, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Maple St, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5960 |
Tracie Lynn Reamer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 |