| Titi Taiwo, | |
|
5370 172nd Street West, Lakeville, MN 55024-7325 | |
| (612) 386-2372 | |
| Not Available |
| Full Name | Titi Taiwo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5370 172nd Street West, Lakeville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033851209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9087 (Minnesota) | Primary |
| Entity Name | University Of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Entity Name | Healthfair Plus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Titi Taiwo, 5370 172nd Street West, Lakeville, MN 55024-7325 Ph: (612) 386-2372 | Titi Taiwo, 5370 172nd Street West, Lakeville, MN 55024-7325 Ph: (612) 386-2372 |
Tracy Mueller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-892-5454 | |
Kelly Krueger, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-993-8800 | |
Katherine Mary Neu, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-832-5400 | |
Carla Renea Boudoir, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18342 Kerrville Trl, Lakeville, MN 55044 Phone: 612-275-2739 | |
Emily Ann Dallmann, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17713 Kenwood Trl, Lakeville, MN 55044 Phone: 952-595-6061 | |
Sarah Mary Boman, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-992-6700 |