| Morgan Kucala, CNP | |
| 
					20029 January St, Big Lake, MN 55309-4829  | |
| (712) 260-2672 | |
| Not Available | 
| Full Name | Morgan Kucala | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 20029 January St, Big Lake, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831501204 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 10921 (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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Morgan Kucala, CNP 20029 January St, Big Lake, MN 55309-4829 Ph: (712) 260-2672  | Morgan Kucala, CNP 20029 January St, Big Lake, MN 55309-4829 Ph: (712) 260-2672  | 
Hannah D Lewis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16397 173rd Ave Se, Big Lake, MN 55309 Phone: 612-670-4870  | |
John Olafson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21475 205th St Nw, Big Lake, MN 55309 Phone: 320-828-3631  | |
Blessing Osibodu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20172 Truman Dr, Big Lake, MN 55309 Phone: 612-483-8643  |