| Shadrin K Constance, | |
|
464 2nd St Ste 204, Excelsior, MN 55331-2015 | |
| (612) 787-8408 | |
| (612) 567-8935 |
| Full Name | Shadrin K Constance |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 464 2nd St Ste 204, Excelsior, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609632223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 238554-5 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 12211 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rehabilitation Medicine Associates Llc | 9335465558 | 10 |
| Entity Name | Rehabilitation Medicine Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093103145 PECOS PAC ID: 9335465558 Enrollment ID: O20150306000534 |
| 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 |
| Entity Name | Applebaum Physiatry PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700598059 PECOS PAC ID: 8729453436 Enrollment ID: O20241202000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Shadrin K Constance, 464 2nd St Ste 204, Excelsior, MN 55331-2015 Ph: (612) 787-8408 | Shadrin K Constance, 464 2nd St Ste 204, Excelsior, MN 55331-2015 Ph: (612) 787-8408 |
Ms. Kara M Hutton, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 Fax: 952-470-4523 |
Emma J Stammeyer, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935 |
Maggie Hysjulien Christ, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935 |
Irene Enjema Ekobena, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935 |
Mai Moua Vang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Water St, Excelsior, MN 55331 Phone: 952-442-6950 Fax: 952-955-6276 |
Eleanor Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Division St, Excelsior, MN 55331 Phone: 952-474-5488 |
Dr. Yuven Sabastian Lukong, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935 |