| Tarikua Katiso, | |
|
10792 Ashley Ln, Woodbury, MN 55129-6903 | |
| (651) 497-1459 | |
| Not Available |
| Full Name | Tarikua Katiso |
|---|---|
| Gender | |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 10792 Ashley Ln, Woodbury, Minnesota |
| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063206134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12379 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifespark Home Health | Saint louis park, MN | Home health agency |
| Healthpartners Hospice And Palliative Care | Bloomington, MN | Hospice |
| Fairview Hospital University | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Curana Health Of Minnesota Pllc | 6305233461 | 62 |
| Entity Name | Curana Health of Minnesota PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083365084 PECOS PAC ID: 6305233461 Enrollment ID: O20220420002125 |
| Entity Name | CH Specialty Services MN PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841999158 PECOS PAC ID: 7517331796 Enrollment ID: O20230330001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarikua Katiso, 10792 Ashley Ln, Woodbury, MN 55129-6903 Ph: (651) 497-1459 | Tarikua Katiso, 10792 Ashley Ln, Woodbury, MN 55129-6903 Ph: (651) 497-1459 |
Heidi Lee Brown, FNP-BC, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7650 Currell Blvd Ste 330, Woodbury, MN 55125 Phone: 651-738-7800 Fax: 651-738-9501 |
Michelle Garay, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 659 Bielenberg Dr Ste 100, Woodbury, MN 55125 Phone: 952-903-1329 Fax: 651-259-9780 |
Laurie Geddes, MS, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2040 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-259-9750 |
Ogechukwu Ugwu, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2658 Brittany Ln, Woodbury, MN 55125 Phone: 651-795-9209 |
Tamara Tew, APRN, CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-259-9750 |
Morgan Borine, MA, MS, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Bielenberg Dr Ste 180, Woodbury, MN 55125 Phone: 612-225-4141 |
Marcy J Bents, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0100 |