MARLO INEZ DWORSKY (NPI# 1558805903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558805903 |
| Entity Type | Individual |
| Full Name | MARLO INEZ DWORSKY |
| Credential | CNP |
| Practice Address |
3400 W 66th St Ste 290 Edina MN 55435-2133 |
| Mailing Address |
4533 Colfax Ave S Minneapolis MN 55419-4736 |
| Practice Telephone | 9528363637 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2017-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CNP5018 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3400 W 66TH ST STE 290 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269277 | Amy Michelle Busker | Pharmacist | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2005-07-15 |
| 1922585983 | Bertina Lovine Haug | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2018-07-23 |
| 1801373063 | Vanessa Kasper | Registered Nurse | 3400 W 66th St Ste 290, Edina, MN 55435 | 2018-07-20 |
| 1023508439 | Sarah Marie Nolan | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435 | 2018-05-11 |
| 1831613603 | Bridget Love | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2017-08-02 |
| 1538612940 | Leann Margaret Krezowski | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2016-08-02 |
| 1023479458 | Allison Dillon | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2016-03-12 |
| 1467819045 | Jodi Hildebrand | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2016-01-27 |
| 1356694079 | Rebecca Lynn Lucking | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2012-10-18 |
| 1366704553 | Yasser Chebli | Family Medicine | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407223159 | Carla Sue Christenson | Nurse Practitioner | 3400 W. 66th St, Edina, MN 55435 | 2015-08-28 |
| 1932372224 | Jennifer Debra Kish | Nurse Practitioner | 7701 York Street, Ste. 100, Edina, MN 55435-5543 | 2008-04-08 |
| 1982692232 | Catherine Ann Lauring | Nurse Practitioner | 4570 W 77th St Ste 350, Edina, MN 55435-5035 | 2005-10-11 |
| 1164990842 | Rougui B Bah | Nurse Practitioner | 7400 France Ave S Ste 100, Edina, MN 55435-4738 | 2018-11-11 |
| 1023479458 | Allison Dillon | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2016-03-12 |
| 1730555889 | Danielle Bandholz | Nurse Practitioner | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2015-08-12 |
| 1356694079 | Rebecca Lynn Lucking | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2012-10-18 |
| 1881956209 | Joan Marie Mason Bowlin | Nurse Practitioner | 3400 W 66th St, Ste 290, Edina, MN 55435-2111 | 2012-06-12 |
| 1447410931 | Vicki Lynn Niedzwieski | Nurse Practitioner | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2008-06-10 |
| 1437367885 | Stacey Ann Dehn | Nurse Practitioner | 3400 W 66th St, Edina, MN 55435-2111 | 2007-05-18 |
| Find all providers in EDINA | ||||
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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.