| James Tutu Fiske I, DNP/PMHNP | |
|
3601 Minnesota Dr Ste 170, Bloomington, MN 55435-5202 | |
| (844) 994-3631 | |
| Not Available |
| Full Name | James Tutu Fiske I |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3601 Minnesota Dr Ste 170, Bloomington, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013525534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11098 (Minnesota) | Primary |
| Entity Name | Ehab Yacoub Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20210820002221 |
| Entity Name | Mind 247 Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566 |
| Mailing Address | Practice Location Address |
|---|---|
| James Tutu Fiske I, DNP/PMHNP 3601 Minnesota Dr Ste 170, Bloomington, MN 55435-5202 Ph: (612) 927-2040 | James Tutu Fiske I, DNP/PMHNP 3601 Minnesota Dr Ste 170, Bloomington, MN 55435-5202 Ph: (844) 994-3631 |
Mr. Donald Michael Dunow, MSN FNP-C CNP APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8936 Lyndale Ave S, Bloomington, MN 55420 Phone: 866-389-2727 | |
Mabel A Rohr, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Avenue South, Ms 26602g, Bloomington, MN 55425 Phone: 952-883-6805 Fax: 952-883-6117 | |
Ann M Rechtzigel, RN, MA, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 Minnesota Dr Ste 200, Bloomington, MN 55435 Phone: 612-879-1000 Fax: 612-879-9116 | |
Joan C Barnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8101 34th Ave S, Mc26602g, Bloomington, MN 55425 Phone: 952-883-6805 Fax: 952-883-6117 | |
David Wells, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr., Bloomington, MN 55431 Phone: 952-831-8742 | |
Kimberly C Bourassa, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267 |