Laure Manack, | |
307 1st Ave Nw, Trinity Community Clinic - Kenmare, Kenmare, ND 58746-7104 | |
(701) 385-4283 | |
(701) 385-4282 |
Full Name | Laure Manack |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 307 1st Ave Nw, Kenmare, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699218636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R43934 (North Dakota) | Primary |
363LF0000X | Nurse Practitioner - Family | AP132430 (Texas) | Secondary |
Entity Name | Sanford Health Network North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366478760 PECOS PAC ID: 8022206663 Enrollment ID: O20171226001068 |
Mailing Address | Practice Location Address |
---|---|
Laure Manack, Po Box 5010, Minot, ND 58702-5010 Ph: (701) 857-5650 | Laure Manack, 307 1st Ave Nw, Trinity Community Clinic - Kenmare, Kenmare, ND 58746-7104 Ph: (701) 385-4283 |
Ms. Faith Hope Eagle, DNP-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 1st Ave Nw, Kenmare, ND 58746 Phone: 701-385-4283 Fax: 701-385-4282 | |
Rosann L Gottbreht, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 1st Ave. N.w., Kenmare, ND 58746 Phone: 701-385-4283 Fax: 701-385-4282 | |
Robert Daniel Saxon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 1st Ave Nw, Kenmare, ND 58746 Phone: 701-385-4283 |