| Faith Lorraine Liedholm Matsch Hicks, NP | |
|
701 Dellwood St S, Cambridge, MN 55008-1923 | |
| (763) 689-7700 | |
| Not Available |
| Full Name | Faith Lorraine Liedholm Matsch Hicks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 701 Dellwood St S, Cambridge, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346934973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10310 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Lorraine Liedholm Matsch Hicks, NP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-2233 | Faith Lorraine Liedholm Matsch Hicks, NP 701 Dellwood St S, Cambridge, MN 55008-1923 Ph: (763) 689-7700 |
Ms. Jocelyn Diane Chesson, DNP-FNP-C, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 Fax: 763-688-7921 | |
Samantha Frances Jezeski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 | |
Sarah Hary, MSN, APRN, ADNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 Fax: 763-688-7941 | |
Seth Steven Witthuhn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 Fax: 763-688-7747 | |
Sue Jean Morrow, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 | |
Kristy Lee Witthuhn, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 Fax: 763-688-7941 | |
Antonia Christine Gardner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 Fax: 763-689-7870 |