| Mrs Angela Vanderheyden, NURSE PRACTITIONER | |
|
3850 Park Nicollet Blvd, Senior Services, Saint Louis Park, MN 55416-2527 | |
| (952) 993-5041 | |
| (952) 993-6406 |
| Full Name | Mrs Angela Vanderheyden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 3850 Park Nicollet Blvd, Saint Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255647798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | R1691997 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Healthfair Plus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Angela Vanderheyden, NURSE PRACTITIONER 2243 Gettysburg Ave S, Saint Louis Park, MN 55426-2341 Ph: (612) 719-2173 | Mrs Angela Vanderheyden, NURSE PRACTITIONER 3850 Park Nicollet Blvd, Senior Services, Saint Louis Park, MN 55416-2527 Ph: (952) 993-5041 |
Mrs. Julie Ann Such, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3931 Louisiana Ave S, Ste E400, Saint Louis Park, MN 55426 Phone: 952-993-3230 Fax: 952-993-1748 | |
Casey Louise White, NP-AGPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S Ste E400, Saint Louis Park, MN 55426 Phone: 952-831-8742 | |
Mrs. Janet Louise Ungs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, Saint Louis Park, MN 55416 Phone: 952-993-1000 | |
Dr. Adina L Peck, DNP, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3931 Louisiana Ave S, Saint Louis Park, MN 55426 Phone: 952-993-3248 | |
Erin Elizabeth Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Suite 4-820, Saint Louis Park, MN 55426 Phone: 952-993-3240 Fax: 952-993-2640 | |
Katie Marie Peterson, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, Suite E202, Saint Louis Park, MN 55426 Phone: 952-993-9184 |