PSYCHNURSE P.C.


Address: 3000 County Road 42 W, Suite 210, Burnsville, MN 55337-4824
Phone: 9528987578

PSYCHNURSE P.C. (NPI# 1053771428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053771428
Entity Type Organization
Organization Name PSYCHNURSE P.C.
Practice Address 3000 County Road 42 W
Suite 210
Burnsville
MN 55337-4824
Mailing Address 5608 Sanibel Dr
Minnetonka
MN 55343-4149
Practice Telephone 9528987578
Practice Fax Number 9528987592
Mailing Telephone 9529350212
Enumeration Date 2016-02-29
Last Update Date 2016-02-29
Authorized Official Name CYNTHIA M WITTCOFF (PRESIDENT)
Authorized Official Telephone 6515038800
Authorized Official Credential CNS, MSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3000 COUNTY ROAD 42 W
SUITE 210
City BURNSVILLE
State MN
Zip Code 55337-4824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972694784 Stacy Marie Thornhill Chiropractor 3000 County Road 42 W, Suite 303, Burnsville, MN 55337-4824 2006-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053939397 Alpha Quality Care1 L. L. C. Home Infusion 12924 18th Ave South, Burnsville, MN 55337 2020-07-13
1568085900 Kathryn Harris Counselor 11939 W. River Hills Dr., Burnsville, MN 55337 2020-05-20
1952941254 Noah Home Care Inc. Home Health 13521 Nicollet Lane, Burnsville, MN 55337 2020-01-14
1750854287 Baraka Home Care LLC Nursing Care 1700 James Place, Burnsville, MN 55337 2019-01-08
1699298778 Raphael Cheron-dittmann Hearing Instrument Specialist 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 2017-07-20
1669909818 Mercy Home Care Ltd Hospice Care, Community Based 1020 E 146th St Ste 220d, Burnsville, MN 55337 2017-05-18
1457893984 Daniel Ryan Nguyen Physician Assistant 14551 Co Rd #11 #100, Burnsville, MN 55337 2016-11-15
1730542572 Iris Reproductive Psychiatric Clinic Clinical Nurse Specialist 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 2016-03-30
1740657204 Mercy Link, LLC Home Health 13005 Salem Pl, Burnsville, MN 55337 2015-08-31
1669852158 Mixa Dipak Patel Physical Therapy Assistant 8380 Hiawatha Ave, Eden Prairie, MN 55337 2015-06-01
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730542572 Iris Reproductive Psychiatric Clinic Clinical Nurse Specialist 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 2016-03-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922159680 Kristie Lee Sward Clinical Nurse Specialist 160 Kellogg Blvd E Ste 8200, Saint Paul, MN 55101-1420 2007-01-16
1447333513 Karen Sue Finck Clinical Nurse Specialist 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 2006-10-23
1548289259 Judith Hilary Weis Clinical Nurse Specialist 27 1st St Sw, Crosby, MN 56441-1417 2006-07-19
1184170383 Jessica Michelle Cadriel Clinical Nurse Specialist 100 Freeman Dr, Saint Peter, MN 56082-3504 2016-08-28
1790138550 Katy Jean Srock Clinical Nurse Specialist 520 Nw 5th St, Brainerd, MN 56401-2902 2016-07-18
1063864395 Sherryl St.martin Clinical Nurse Specialist 3101 Superior Dr Nw, Rochester, MN 55901-1993 2016-07-11
1386099505 Luke Schwartz Moretti Clinical Nurse Specialist 2450 Riverside Ave, 6a East, Minneapolis, MN 55454-1450 2016-04-25
1396100046 Jamie Lynn Giles Clinical Nurse Specialist 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 2015-12-23
1447529854 Pamela Christian Boldt Clinical Nurse Specialist 7580 160th St W, Lakeville, MN 55044-8348 2011-12-14
1568741502 Patricia Fitzgerald Brown Clinical Nurse Specialist 13603 80th Cir N, Maple Grove, MN 55369-8961 2011-08-09
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Competitor

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City BURNSVILLE
Zip Code 55337

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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