| Kristen Renae Gourneau, NP | |
|
3883 74th Avenue, Fort Totten, ND 58335-5833 | |
| (701) 766-1600 | |
| Not Available |
| Full Name | Kristen Renae Gourneau |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 3883 74th Avenue, Fort Totten, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285293472 | NPI | - | NPPES |
| R37632 | Other | ND | NORTH DAKOTA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R37632 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| P H S Indian Hosp At Belcourt-quentin N Burdick | Belcourt, ND | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quentin N Burdick Comprehensive Health Care Facility | 5496651853 | 34 |
| Entity Name | Quentin N Burdick Comprehensive Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Renae Gourneau, NP 1030 7th St Ne, Devils Lake, ND 58301-2720 Ph: (218) 280-6153 | Kristen Renae Gourneau, NP 3883 74th Avenue, Fort Totten, ND 58335-5833 Ph: (701) 766-1600 |
Liza A Ystaas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335 Phone: 701-766-1600 | |
Mikkel Elizabeth Buckmier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335 Phone: 701-766-1600 | |
Cheryl A. Hefta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 2nd Ave N, Fort Totten, ND 58335 Phone: 701-766-1251 Fax: 701-766-1260 | |
Macie Mikkelsen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335 Phone: 701-766-1600 | |
Mary Joy E Derla, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3883 74th Avenue Ne, Fort Totten, ND 58335 Phone: 701-766-1600 | |
Worku Metaferia, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335 Phone: 701-766-1600 |