ANTONETTE TRAPP


Address: 5200 Fairview Blvd, Wyoming, MN 55092-8013
Phone: 6519827000

ANTONETTE TRAPP (NPI# 1174914428) 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) 1174914428
Entity Type Individual
Full Name ANTONETTE TRAPP
Credential APRN
Practice Address 5200 Fairview Blvd
Wyoming
MN 55092-8013
Mailing Address 223 Galaxy Dr
Circle Pines
MN 55014-1611
Practice Telephone 6519827000
Mailing Telephone 6512145823
Enumeration Date 2015-02-09
Last Update Date 2015-02-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R 129203-7 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5200 FAIRVIEW BLVD
City WYOMING
State MN
Zip Code 55092-8013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528061371 Gunnar Jon Erickson Ophthalmology 5200 Fairview Blvd, Wyoming, MN 55092-8013 2005-05-24
1902414378 Fairview Express Care General Practice 5200 Fairview Blvd, Wyoming, MN 55092-8013 2020-07-21
1023648235 Cassandra L Etheridge Physician Assistant 5200 Fairview Blvd, Wyoming, MN 55092-8013 2020-01-16
1023652211 Natasha Lackas Speech-Language Pathologist 5200 Fairview Blvd, Wyoming, MN 55092-8013 2019-10-31
1467019414 Terrence Ellis Clinical Exercise Physiologist 5200 Fairview Blvd, Wyoming, MN 55092-8013 2019-05-24
1790341493 Krystal Kraemer Dietitian, Registered 5200 Fairview Blvd, Wyoming, MN 55092-8013 2019-05-17
1225509037 Lauren Downie Dietitian, Registered 5200 Fairview Blvd, Wyoming, MN 55092-8013 2018-12-06
1861977787 Magdalen Rene Gadbois Speech-Language Pathologist 5200 Fairview Blvd, Wyoming, MN 55092-8013 2018-09-26
1285110338 Marie Hudalla Physical Therapist 5200 Fairview Blvd, Wyoming, MN 55092-8013 2018-07-12
1023502697 Molly Levy Nurse Practitioner 5200 Fairview Blvd, Wyoming, MN 55092 2018-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821696022 Wyoming Family Dental Dentist 5378 East Viking Blvd., Wyoming, MN 55092 2020-10-12
1851909436 Matthew Rohlf Dentist 5378 E Viking Blvd, Wyoming, MN 55092 2020-07-20
1669013280 Christina Marie Orde Technician 4855 261st Street, Wyoming, MN 55092 2019-10-04
1609425966 Faith Bouttell Technician 25423 Heims Lake Circle, Wyoming, MN 55092 2019-09-10
1275875031 Fairview Express Care Clinic/Center 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 2013-03-20
1023385242 St. Croix Orthopaedics, P.a. Durable Medical Equipment & Medical Supplies 5200 Fairview Blvd., Wyoming, MN 55092 2011-11-17
1902851876 Tamara Piroska Petrac-halatsis Obstetrics & Gynecology 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 2006-05-22
1376922070 Carli Lynn Ceder Physical Therapist 5130 Fairview Blvd, Wyoming, MN 55092 2015-05-27
1396087433 Fairview Health Services Durable Medical Equipment & Medical Supplies 5130 Fairview Blvd, Suite 104, Wyoming, MN 55092 2013-03-26
1598007726 Fairview Health Services Prosthetic/Orthotic Supplier 5130 Fairview Blvd, Suite 103, Wyoming, MN 55092 2013-03-26
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972963767 Rachel Palma Nurse Practitioner 5200 Fairview Blvd, Wyoming, MN 55092-8013 2016-03-07
1043459167 Tera L Lotz Nurse Practitioner 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 2009-02-12
1528152915 Suzanne S Rusk Nurse Practitioner 5200 Fairview Boulevard, Fairview Lakes Pediatrics, Wyoming, MN 55092 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518587120 Amanda Joy Dominik Nurse Practitioner 4411 Arden View Ct, Arden Hills, MN 55112-1944 2020-04-23
1881245504 Hailey Prescott Nurse Practitioner 2450 Riverside Avenue Se, Minneapolis, Mn, MN 55454-1400 2019-09-24
1598317570 Elisabeth Palmquist Nurse Practitioner 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 2019-07-10
1538644562 Angela Ashton Nurse Practitioner 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 2018-09-25
1558865295 Meghan Kerry Deyo Nurse Practitioner 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 2018-03-19
1336642131 Caitlin Anna Lingbeck Nurse Practitioner 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 2018-03-18
1740799246 Maya Bastian Nurse Practitioner 12220 Travois Rd, Eden Prairie, MN 55347-4241 2017-09-27
1821523028 Robin Marie Parker Nurse Practitioner 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 2017-04-25
1538691043 Jenifer Flegel Nurse Practitioner 963 Robert St S, West Saint Paul, MN 55118-1446 2017-04-03
1154796811 Megan Stark Nurse Practitioner 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 2015-12-07
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Competitor

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City WYOMING
Zip Code 55092

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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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