| Mrs Cathie Sue Henneberry, FNP, APRN-BC, MSN | |
|
1213 15th Ave W, Williston, ND 58801 | |
| (701) 572-7651 | |
| Not Available |
| Full Name | Mrs Cathie Sue Henneberry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1213 15th Ave W, Williston, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053398909 | NPI | - | NPPES |
| 1476052 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN26836 (Montana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R36163 (North Dakota) | Primary |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
| Entity Name | Elite Specialty Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841594900 PECOS PAC ID: 7416138870 Enrollment ID: O20110218000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cathie Sue Henneberry, FNP, APRN-BC, MSN 1213 15th Ave W, Williston, ND 58801-3800 Ph: (701) 572-7651 | Mrs Cathie Sue Henneberry, FNP, APRN-BC, MSN 1213 15th Ave W, Williston, ND 58801 Ph: (701) 572-7651 |
Elizabeth Ann Skov, FPMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 2nd Ave W, Williston, ND 58801 Phone: 701-774-4600 Fax: 701-774-4620 | |
Evonne A Hickok, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
Samantha Lee Ann Brunink, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 23rd St E, Williston, ND 58801 Phone: 307-258-0956 | |
Nana Oforiwaa Boateng, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Debra J. Lukenbill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7477 Fax: 701-774-7479 | |
Lauryn Mason, RN, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 406-239-8639 |