| Mr Zacharia G Ogwang, FNP | |
|
15245 Bluebird St Nw, Andover, MN 55304-3538 | |
| (763) 587-4600 | |
| (763) 587-4615 |
| Full Name | Mr Zacharia G Ogwang |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 15245 Bluebird St Nw, Andover, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427367093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2590 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Zacharia G Ogwang, FNP 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: (952) 883-5375 | Mr Zacharia G Ogwang, FNP 15245 Bluebird St Nw, Andover, MN 55304-3538 Ph: (763) 587-4600 |
Divina Fama Bikeri, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15245 Bluebird St Nw, Andover, MN 55304 Phone: 763-587-4688 Fax: 763-587-4662 | |
Jennifer Marie Zwiefelhofer, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3633 Bunker Lake Blvd Nw, Clinic #07110, Andover, MN 55304 Phone: 763-421-5011 | |
Kelly L Nguyen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-392-4001 Fax: 763-862-2091 | |
Stephanie Lynn Piche, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-392-4001 | |
Joy Hanna Cloutier, PHMNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1714 Bunker Lake Blvd Nw Ste 108, Andover, MN 55304 Phone: 763-330-2839 | |
Chandrawatie Khemraj, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15245 Bluebird St Nw, Andover, MN 55304 Phone: 763-587-4688 Fax: 763-587-4662 | |
Helen C Knutson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15245 Bluebird St Nw, Mail Stop 39200a, Andover, MN 55304 Phone: 763-712-6000 Fax: 763-712-6090 |