NICOLE MARIE HENTGES (NPI# 1477749554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477749554 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE HENTGES |
| Credential | RN, CNP |
| Practice Address |
5520 Ridgewood Cv Minnetrista MN 55364-8239 |
| Mailing Address |
21897 S Diamond Lake Rd # 403 Rogers MN 55374-4642 |
| Practice Telephone | 6128655262 |
| Practice Fax Number | 7635653306 |
| Mailing Telephone | 6128655262 |
| Mailing Fax Number | 7635653306 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
R161296-3 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5520 RIDGEWOOD CV |
| City | MINNETRISTA |
| State | MN |
| Zip Code | 55364-8239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430621 | Anne Pierce | Nurse Practitioner | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2005-10-11 |
| 1144716697 | Amber Rae Halverson | Nurse Practitioner | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2018-07-09 |
| 1003268772 | Bree Yaeger Jensen | Nurse Practitioner | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2016-07-06 |
| 1710281647 | Consultative Health and Medicine, Pa | Family Medicine | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2011-01-06 |
| 1831421965 | Angela Lea Guerrero | Nurse Practitioner | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2010-01-29 |
| 1700807021 | Patricia Cecile Henjum | Nurse Practitioner | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2006-07-21 |
| 1104800267 | Chris J Johnson | Family Medicine | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992594 | Mary Kaye Guenther | Physical Therapy Assistant | 6670 Game Farm Rd, Mound, MN 55364 | 2018-05-18 |
| 1558893008 | Kirsten Eaton | Student in an Organized Health Care Education/Training Program | 945 Forest Arms Lanes, Mound, MN 55364 | 2017-04-03 |
| 1619322450 | Heidi Durant | Counselor | 2973 Hazelwood Lane, Mound, MN 55364 | 2016-04-29 |
| 1255720603 | Amanda S Myers | Speech-Language Pathologist | 940 Bayside Ln, Minnetrista, MN 55364 | 2015-01-22 |
| 1538447644 | Mary Bernadette Philp | Dentist | 5205 Shoreline Drive, Mound, MN 55364 | 2011-07-25 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1205913282 | Robert A Lauer | Dentist | 5585 Shoreline Blvd, Mound, MN 55364 | 2006-11-01 |
| 1750470068 | Stephanie Lynn Miner | Dentist | West Lakes Dentistry, 5205 Shoreline Drive, Mound, MN 55364 | 2006-10-12 |
| 1194120519 | Stable Living LLC | Counselor | 6344 Rambler Ln, Mound, MN 55364-1043 | 2014-10-28 |
| 1386800977 | Debra Karen Kullberg | Marriage & Family Therapist | 1567 Bluebird Ln, Mound, MN 55364-1109 | 2008-08-02 |
| Find all providers in zip 55364 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472782 | Mary Joyce Gruber | Clinical Nurse Specialist | 45 10th St W Fl 41514, Saint Paul, MN 55102-1062 | 2020-03-18 |
| 1932661402 | Roberta Lynn Huna Wagner | Clinical Nurse Specialist | 800 E 28th St # Mr 94100, Minneapolis, MN 55407-3799 | 2019-04-03 |
| 1508487612 | Nicole Marie Jensen | Clinical Nurse Specialist | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-04-29 |
| 1154864965 | Nicole Anne Sarauer | Clinical Nurse Specialist | 1701 Curve Crest Blvd W, Suite 104, Stillwater, MN 55082-6044 | 2016-11-28 |
| 1710381298 | Christine Larson | Clinical Nurse Specialist | 69 Exchange St W, Saint Paul, MN 55102-1004 | 2014-10-13 |
| 1477954576 | Nathan Aaron Kline | Clinical Nurse Specialist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-08 |
| 1306254206 | Emily Anderson | Clinical Nurse Specialist | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2014-07-24 |
| 1225376338 | Tracy Lynn Dickison | Clinical Nurse Specialist | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 | 2013-01-24 |
| 1558536755 | Barbara Ann Weber | Clinical Nurse Specialist | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2008-04-28 |
| 1972647378 | Kathleen Anne Nelson | Clinical Nurse Specialist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2007-02-18 |
| Find all providers with the same taxonomy | ||||
| City | MINNETRISTA |
| Zip Code | 55364 |
Please comment or provide details below to improve the information on NICOLE MARIE HENTGES.
| 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.