Eva Dominie Wilson, | |
8198 Palmgren Ave Ne, Otsego, MN 55330-7224 | |
(763) 232-9877 | |
Not Available |
Full Name | Eva Dominie Wilson |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 8198 Palmgren Ave Ne, Otsego, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063084127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 8244 (Minnesota) | Primary |
Entity Name | Geriatric Services Of Minnesota Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093131419 PECOS PAC ID: 2365667557 Enrollment ID: O20140701002173 |
Mailing Address | Practice Location Address |
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Eva Dominie Wilson, 8198 Palmgren Ave Ne, Otsego, MN 55330-7224 Ph: () - | Eva Dominie Wilson, 8198 Palmgren Ave Ne, Otsego, MN 55330-7224 Ph: (763) 232-9877 |
Susan Cuny, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16201 90th St Ne, Suite 200, Otsego, MN 55330 Phone: 763-746-9492 | |
Hannah Berns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12098 79th St Ne, Otsego, MN 55330 Phone: 763-291-5729 | |
Dr. Kami Simmons, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 | |
Delphine Munya, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 | |
Judith M Anderson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7649 Odell Circle Ne, Otsego, MN 55330 Phone: 920-750-9799 | |
Thelma Mahya Browne-kaine, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 |