| Nicolle Michelle Lande, PA | |
|
2550 University Avenue West, Suite 229n, St Paul, MN 55114 | |
| (651) 645-3115 | |
| (651) 645-2752 |
| Full Name | Nicolle Michelle Lande |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2550 University Avenue West, St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881671162 | NPI | - | NPPES |
| 486965800 | Medicaid | MN | |
| 559K0LA | Other | MN | BCBS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9821 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolle Michelle Lande, PA 2550 University Avenue West, Suite 229n, St Paul, MN 55114 Ph: (651) 645-3115 | Nicolle Michelle Lande, PA 2550 University Avenue West, Suite 229n, St Paul, MN 55114 Ph: (651) 645-3115 |
Mary Lee Mueller, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11303a, St Paul, MN 55101 Phone: 651-254-4786 Fax: 651-228-8362 | |
Jessica F Jandric, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1026 W 7th Street, St Paul, MN 55102 Phone: 651-241-1000 | |
Kristy Jordan Lichtenberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Ste 200, St Paul, MN 55102 Phone: 651-241-5111 Fax: 651-241-5512 | |
Lisa M Lau, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 | |
Michael R Timm, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11503j, St Paul, MN 55101 Phone: 651-254-5701 Fax: 651-254-1519 | |
Yu Guan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 640 Jackson St, St Paul, MN 55101 Phone: 952-883-5792 | |
Stephen C Wandersee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 |