PATRICIA MORTENSEN WANG (NPI# 1568412534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568412534 |
| Entity Type | Individual |
| Full Name | PATRICIA MORTENSEN WANG |
| Credential | CRNA |
| Practice Address |
6401 France Ave S Edina MN 55435-2104 |
| Mailing Address |
645 Newman Trl Stillwater MN 55082-3447 |
| Practice Telephone | 9529245000 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R1114911 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | AANA CERT. NUMBER | 042162 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648233 | Patricia Yatang Wang | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2020-04-18 |
| 1497097018 | Patricia Wang | Pediatrics | 7180 Cascade Valley Ct, #180, Las Vegas, NV 89128-0449 | 2013-03-21 |
| 1558618652 | Patricia Wang | Physical Therapist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2012-08-07 |
| Street Address |
6401 FRANCE AVE S |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162128 | Molly E Martin | Internal Medicine | 6401 France Ave S, Edina, MN 55435 | 2005-05-27 |
| 1760098156 | Tyler William Freiborg | Registered Nurse | 6401 France Ave S, Edina, MN 55435-2104 | 2020-09-21 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1255951950 | Jennifer L Guptail | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-22 |
| 1053931964 | Emilee Kuehl | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-21 |
| 1689211526 | Angela Tullbane | Dietitian, Registered | 6401 France Ave S, Ll10, Edina, MN 55435 | 2019-12-10 |
| 1679119341 | Mckenzie Jo Young | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-11-18 |
| 1629619218 | Sonya Blyakher | Physical Therapist | 6401 France Ave S, Edina, MN 55435-2104 | 2019-10-04 |
| 1386294791 | Michelle Teigen | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-17 |
| 1134779853 | Vanesha Vasian Gordon-king | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-14 |
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| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821284746 | Lara Thomas Olson | Nurse Anesthetist, Certified Registered | 6401 France Avenue S, Edina, MN 55435 | 2007-09-25 |
| 1467547919 | Treff Friedman | Nurse Anesthetist, Certified Registered | 6401 France Avenue South, Edina, MN 55435 | 2006-10-03 |
| 1285664110 | Jose Miguel Calvo | Nurse Anesthetist, Certified Registered | 7440 Edinborough Way Apt 4210, Edina, MN 55435-5622 | 2006-07-04 |
| 1255388377 | Andrew C Johnson-cowley | Nurse Anesthetist, Certified Registered | 6429 Josephine Ave, Edina, MN 55439-1422 | 2006-05-27 |
| 1255386207 | Renea Marie Palmer | Nurse Anesthetist, Certified Registered | 6401 France Ave So., Edina, MN 55435-2104 | 2006-05-24 |
| 1386294791 | Michelle Teigen | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-17 |
| 1285101055 | Tara Lynn Kaletka | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2199 | 2018-10-30 |
| 1821565953 | Lindsey Jo Wachendorf | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2199 | 2018-10-26 |
| 1205302999 | Sarah Marie Tomann | Nurse Anesthetist, Certified Registered | 6401 France Avenue S, Edina, MN 55435 | 2018-10-19 |
| 1487138293 | Michael Indergaard | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2199 | 2018-09-18 |
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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.