| Courtney Provos, APRN, CNP | |
|
1654 Diffley Rd Ste 100, Eagan, MN 55122-2236 | |
| (651) 641-3904 | |
| Not Available |
| Full Name | Courtney Provos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1654 Diffley Rd Ste 100, Eagan, 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 |
|---|---|---|---|
| 1982424529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11955 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Provos, APRN, CNP 1654 Diffley Rd Ste 100, Eagan, MN 55122-2236 Ph: (651) 641-3904 | Courtney Provos, APRN, CNP 1654 Diffley Rd Ste 100, Eagan, MN 55122-2236 Ph: (651) 641-3904 |
Rosa Grebin, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1885 Plaza Dr, Eagan, MN 55122 Phone: 952-993-4001 | |
Jori L Shore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1885 Plaza Dr, Park Nicollet Clinic - Eagan, Eagan, MN 55122 Phone: 952-993-4001 Fax: 952-993-4075 | |
Julie Kristin Kovanda, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121 Phone: 651-406-8860 Fax: 651-406-8860 | |
Laura Anne Chilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1654 Diffley Rd Ste 100, Eagan, MN 55122 Phone: 651-641-3900 | |
Ms. Abby Rose Roth, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4241 Johnny Cake Ridge Rd, Eagan, MN 55122 Phone: 866-389-2727 | |
Anne Conwell Rader, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 211699, Eagan, MN 55121 Phone: 866-849-0692 Fax: 888-973-8821 | |
Ms. Ellen A Connolly-eckhoff, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1885 Plaza Dr, Eagan, MN 55122 Phone: 952-993-4001 |