| Haron Nyakundi Manwa, | |
|
3301 7th Ave, Anoka, MN 55303-4516 | |
| (651) 431-5000 | |
| Not Available |
| Full Name | Haron Nyakundi Manwa |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3301 7th Ave, Anoka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003461864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 6804 (Minnesota) | Primary |
| Entity Name | Anoka Metro Regional Treatment Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275585564 PECOS PAC ID: 9335135375 Enrollment ID: O20040423000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Haron Nyakundi Manwa, 7223 114th Ln N, Champlin, MN 55316-2860 Ph: (612) 532-6404 | Haron Nyakundi Manwa, 3301 7th Ave, Anoka, MN 55303-4516 Ph: (651) 431-5000 |
Addie Noel Ketelsen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7231 Sunwood Dr Nw, Anoka, MN 55303 Phone: 763-236-0000 | |
Mary Stephens, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Jacob Ln, Anoka, MN 55303 Phone: 763-587-4200 Fax: 763-587-4205 | |
Julie Michelle Edinger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Oakwood Dr, Anoka, MN 55303 Phone: 763-568-9810 | |
Hellen J Boit, APRN, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 7th Ave, Anoka, MN 55303 Phone: 651-431-5000 | |
Ms. Elaine Hedlund Fitzgerald, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 7th Avenue North, Anoka, MN 55303 Phone: 651-431-5179 | |
Jill Maria Scott, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 E Main St, Anoka, MN 55303 Phone: 763-712-1903 Fax: 763-712-1917 |