TERRY LYNN MOEN (NPI# 1154555969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154555969 |
| Entity Type | Individual |
| Full Name | TERRY LYNN MOEN |
| Other Name | TERRY LYNN CARLSON |
| Practice Address |
1010 4th St Two Harbors MN 55616-1200 |
| Practice Telephone | 2188347202 |
| Mailing Telephone | 2188347202 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 4901-0701-0036-3 | MN | Pharmacy Service Providers |
| Y | 183700000X | Pharmacy Technician | 701501 | MN | Pharmacy Service Providers |
| Street Address |
1010 4TH ST |
| City | TWO HARBORS |
| State | MN |
| Zip Code | 55616-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134150832 | Firstsolutions | Clinic/Center | 1010 4th St, Two Harbors, MN 55616-1200 | 2006-07-05 |
| 1205498631 | Amy Jo Suomi | Nurse Practitioner | 1010 4th St, Two Harbors, MN 55616-1200 | 2019-07-06 |
| 1245688878 | Eric Tolga Hanhan | Family Medicine | 1010 4th St, Two Harbors, MN 55616-1200 | 2016-05-24 |
| 1730536590 | Elizabeth Feist | Family Medicine | 1010 4th St, Two Harbors, MN 55616-1200 | 2016-05-20 |
| 1316313927 | Sarah Nord | Nurse Practitioner | 1010 4th St, Two Harbors, MN 55616-1200 | 2015-08-18 |
| 1427301076 | Tracy Jones | Pharmacist | 1010 4th St, Two Harbors, MN 55616-1200 | 2012-10-19 |
| 1497003958 | Cassandra Jo Morsette | Nurse Practitioner | 1010 4th St, Two Harbors, MN 55616-1200 | 2012-08-15 |
| 1578827150 | Kelsey May Schultz | Family Medicine | 1010 4th St, Two Harbors, MN 55616-1200 | 2012-06-28 |
| 1154692184 | St. Luke's Clinic Pharmacy Two Harbors | Pharmacy | 1010 4th St, Two Harbors, MN 55616-1200 | 2012-01-23 |
| 1740565951 | Alyssa J Hastings | Pharmacist | 1010 4th St, Two Harbors, MN 55616-1200 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265582472 | Paul Martin Trygstad | Dentist | 123 Waterfront Drive, Two Harbors, MN 55616 | 2007-01-11 |
| 1023067642 | Lake View Memorial Hospital, Incorporated | General Acute Care Hospital | 325 11th Ave, Two Harbors, MN 55616 | 2006-05-09 |
| 1457346223 | Lake County Ambulance Service | Ambulance | 421 20th Ave, Two Harbors, MN 55616 | 2005-09-16 |
| 1851818264 | Casandra Lynn Dallum | Dental Hygienist | Po Box 146, Two Harbors, MN 55616-0146 | 2017-08-25 |
| 1700922960 | Amy Lynn Phipps-poe | Physical Therapist | 1503 7th Ave, Two Harbors, MN 55616-1102 | 2007-01-29 |
| 1891018883 | Vision Pro Optical | Optometrist | 1028 7th Ave, Two Harbors, MN 55616-1149 | 2010-03-05 |
| 1619015922 | Sally Elizabeth Stout | Chiropractor | 1026 7th Ave, Two Harbors, MN 55616-1149 | 2007-02-01 |
| 1871623769 | Stout Chiropractic Care, Sc | Clinic/Center | 1026 7th Ave, Two Harbors, MN 55616-1149 | 2007-03-07 |
| 1558988220 | Susan Marie Rosette | Massage Therapist | 713 12th Ave, Two Harbors, MN 55616-1219 | 2020-06-29 |
| 1699871343 | Cory Scott Thomas | Chiropractor | 408 17th Ave, Two Harbors, MN 55616-1250 | 2006-09-16 |
| Find all providers in zip 55616 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518288489 | Michelle L Miller | Pharmacy Technician | 1010 4th St, Two Harbors, MN 55616-1200 | 2010-06-15 |
| 1366771420 | Lisa D Bucklew | Pharmacy Technician | 1010 4th St, Two Harbors, MN 55616-1200 | 2009-12-18 |
| 1811121296 | Michelle B Hallman | Pharmacy Technician | 1010 4th St, Two Harbors, MN 55616-1200 | 2009-05-13 |
| 1053545749 | Sharon Ann Hellman | Pharmacy Technician | 1010 4th St, Two Harbors, MN 55616-1200 | 2009-05-08 |
| 1629202437 | Barbara Mary Triggs | Pharmacy Technician | 1010 4th St, Two Harbors, MN 55616-1200 | 2009-05-07 |
| 1821222639 | Danielle Le Lampart | Pharmacy Technician | 1010 4th St, Two Harbors, MN 55616-1200 | 2009-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340089 | Jennifer Betty Kindem | Pharmacy Technician | 20861 Illinois Path, Lakeville, MN 55044-5881 | 2019-08-05 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1629577085 | Brianna Dee Olson | Pharmacy Technician | 302 E Howard St Ste 230, Hibbing, MN 55746-4203 | 2018-02-12 |
| 1740704816 | Rebecca Anne Rendall | Pharmacy Technician | 550 Vandalia St Ste 175, Saint Paul, MN 55114-2019 | 2017-07-31 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1528509668 | Amanda Lynn Farrell | Pharmacy Technician | 6510 Cedar Lake Rd S, St Louis Park, MN 55426-2811 | 2017-03-08 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1588106702 | John Wasko | Pharmacy Technician | 2535 Cochrane Dr, Woodbury, MN 55125-2967 | 2016-11-07 |
| 1689026890 | Rachael Ann Latchana | Pharmacy Technician | 11030 Quebec Cir, Bloomington, MN 55438-2804 | 2016-07-12 |
| 1447640982 | Gina Joan Gilmour Sorsen | Pharmacy Technician | 2001 Edgewood Ct Sw, Rochester, MN 55902-2274 | 2015-02-04 |
| Find all providers with the same taxonomy | ||||
| City | TWO HARBORS |
| Zip Code | 55616 |
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| 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.