| Lauren M Blaine, APRN,CNP | |
|
2024 S 6th St, Brainerd, MN 56401-4529 | |
| (218) 828-2880 | |
| Not Available |
| Full Name | Lauren M Blaine |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2024 S 6th St, Brainerd, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326883950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2486723 (Minnesota) | Primary |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | St Josephs Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Entity Name | St Cloud Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Entity Name | Carris Health Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
| Entity Name | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren M Blaine, APRN,CNP 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Lauren M Blaine, APRN,CNP 2024 S 6th St, Brainerd, MN 56401-4529 Ph: (218) 828-2880 |
Luke Funk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 Front St, Brainerd, MN 56401 Phone: 218-327-2001 | |
Karli G Dullum, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7101 | |
Deanne Ehlert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-825-7100 | |
Danette Lee Diethert, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 Fax: 218-828-3130 | |
Jordan Benson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 Fax: 218-828-7194 | |
Kimberly E Henderson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 507-884-4856 | |
Anna Eileen Wistrom-thesing, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-2880 |