| Sarah Irene Hare, | |
|
4140 County Road 101 N, Plymouth, MN 55446-2308 | |
| (763) 478-4612 | |
| Not Available |
| Full Name | Sarah Irene Hare |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4140 County Road 101 N, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033886734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7867 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 7867 (Minnesota) | Primary |
| Entity Name | Integrated Wound Care Minnesota Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205390457 PECOS PAC ID: 2769722511 Enrollment ID: O20190314001268 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Irene Hare, 206 Bluffs Ridge Ct, Duluth, MN 55811-2602 Ph: (763) 568-0996 | Sarah Irene Hare, 4140 County Road 101 N, Plymouth, MN 55446-2308 Ph: (763) 478-4612 |
Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725 | |
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842 | |
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828 | |
Elizabeth Ann Brennan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Fernbrook Ln N Ste 120, Plymouth, MN 55447 Phone: 763-559-7050 Fax: 763-559-7060 | |
John M Rozman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 | |
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256 |