| Elizabeth Marie Engum, CNP | |
|
410 North 4th Street, Mahnomen, MN 56557 | |
| (218) 935-2514 | |
| Not Available |
| Full Name | Elizabeth Marie Engum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 410 North 4th Street, Mahnomen, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649755166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6210 (Minnesota) | Primary |
| Entity Name | Mahnomen Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942233234 PECOS PAC ID: 3375546112 Enrollment ID: O20060816000210 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Marie Engum, CNP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Elizabeth Marie Engum, CNP 410 North 4th Street, Mahnomen, MN 56557 Ph: (218) 935-2514 |
Kristen Hemmingsen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 4th St Nw, Mahnomen, MN 56557 Phone: 218-935-2514 Fax: 218-935-2720 | |
Mrs. Tawnia Ann Netland, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 4th St Sw, Mahnomen, MN 56557 Phone: 218-935-2514 Fax: 218-935-2720 | |
Abby Lynn Wing, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 4th Street, Mahnomen, MN 56557 Phone: 218-935-2514 | |
Nicole Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 W. 4th St, Mahnomen, MN 56557 Phone: 218-935-2514 |