| Michele M Welte, CPNP | |
|
2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 | |
| (952) 401-8300 | |
| (952) 401-8242 |
| Full Name | Michele M Welte |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 2805 Campus Dr Ste 235, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699731422 | NPI | - | NPPES |
| 225719000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | R1070042 (Minnesota) | Primary |
| Entity Name | South Lake Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027184 PECOS PAC ID: 3173500303 Enrollment ID: O20040706000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele M Welte, CPNP 2910 Centre Pointe Drive 35121a, Roseville, MN 55113 Ph: (651) 855-2327 | Michele M Welte, CPNP 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 Ph: (952) 401-8300 |
Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725 | |
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842 | |
Sarah Irene Hare, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612 | |
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828 | |
Elizabeth Ann Brennan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Fernbrook Ln N Ste 120, Plymouth, MN 55447 Phone: 763-559-7050 Fax: 763-559-7060 | |
John M Rozman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 | |
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256 |