| Ms Molly K Herseth, APRN, CRNA | |
|
640 Jackson St, Saint Paul, MN 55101-2502 | |
| (651) 254-6512 | |
| Not Available |
| Full Name | Ms Molly K Herseth |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 640 Jackson St, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245695535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 109263 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1860 (Minnesota) | Primary |
| Entity Name | Regions Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Brainerd Lakes Surgery Center L L C |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1750378295 PECOS PAC ID: 5395782213 Enrollment ID: O20050412001404 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Molly K Herseth, APRN, CRNA 1393 Colonial Dr, Roseville, MN 55113-4242 Ph: () - | Ms Molly K Herseth, APRN, CRNA 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-6512 |
Melanie A Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Molly Cubinski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Caitlyn Sarah Lapres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-265-1254 | |
Dale H Mchugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert P Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Diane K Voelker-huhn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Nicole R Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 |