| Molly Jane Malmstrom, CPNP-PC | |
|
111 W Vernon Ave, Fergus Falls, MN 56537-2741 | |
| (218) 739-2221 | |
| Not Available |
| Full Name | Molly Jane Malmstrom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 111 W Vernon Ave, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922793553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 10116 (Minnesota) | Primary |
| Entity Name | Prairie Ridge Hospital and Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20050210000490 |
| Entity Name | Prairie Ridge Hospital and Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20061104000667 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Jane Malmstrom, CPNP-PC 31183 180th St, Underwood, MN 56586-9523 Ph: (218) 405-0880 | Molly Jane Malmstrom, CPNP-PC 111 W Vernon Ave, Fergus Falls, MN 56537-2741 Ph: (218) 739-2221 |
Sheryl Olson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-5501 |
Alena Storlie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 |
Rebecca Rae Boesl, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 |
Joel Justin Anderson, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 W Alcott Ave, Fergus Falls, MN 56537 Phone: 218-332-5001 Fax: 218-739-1329 |
Katie Martin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 |
Marie Braaten, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 |
Amy J Fisher, MAN RN CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-739-2221 |