MRS. CARMEN STANSBERRY (NPI# 1770879538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770879538 |
| Entity Type | Individual |
| Full Name | MRS. CARMEN STANSBERRY |
| Credential | C.N.P. |
| Practice Address |
9825 Hospital Dr #205 Maple Grove MN 55369 |
| Mailing Address |
5700 Bottineau Blvd #210 Crystal MN 55429 |
| Practice Telephone | 7635877000 |
| Practice Fax Number | 7635877015 |
| Mailing Telephone | 7635877000 |
| Mailing Fax Number | 7635877015 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2015-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R203344-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9825 HOSPITAL DR #205 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378467 | Jennifer Stoffers | Advanced Practice Midwife | 9825 Hospital Dr #205, Maple Grove, MN 55369 | 2005-12-23 |
| 1366845471 | Katrina Schlueter | Advanced Practice Midwife | 9825 Hospital Dr #205, Maple Grove, MN 55369 | 2014-10-02 |
| 1659562619 | Ericka Stone | Obstetrics & Gynecology | 9825 Hospital Dr #205, Maple Grove, MN 55369 | 2007-08-06 |
| 1376654160 | Cheryl A Mccreary | Nurse Practitioner | 9825 Hospital Dr #205, Maple Grove, MN 55369 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341865 | Natalie Nicole Johnson | Nurse Practitioner | 9550 Upland Ln N Ste 230, Maple Grove, MN 55369-4484 | 2019-05-14 |
| 1609323393 | Jennifer Renae Narveson | Nurse Practitioner | 9825 Hospital Dr, Ste 205, Maple Grove, MN 55369-4479 | 2016-09-09 |
| 1427401819 | Megan Fredericksen | Nurse Practitioner | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2016-07-20 |
| 1861778151 | Kirsten Malvey | Nurse Practitioner | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2011-10-31 |
| 1376654160 | Cheryl A Mccreary | Nurse Practitioner | 9825 Hospital Dr #205, Maple Grove, MN 55369 | 2006-08-31 |
| 1932185386 | Karen Graber | Nurse Practitioner | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547850 | Lexie Frances Polk | Nurse Practitioner | 3520 N Shore Dr, Wayzata, MN 55391-9360 | 2020-01-21 |
| 1326519646 | Kelsey M Thompson | Nurse Practitioner | 2920 Aldrich Ave S Apt 145, Minneapolis, MN 55408-4275 | 2018-12-13 |
| 1134647274 | Lisa Bergman | Nurse Practitioner | 201 N Victory Dr Ste 211, Mankato, MN 56001-5398 | 2017-09-08 |
| 1528450053 | Stephanie Nielsen | Nurse Practitioner | 1979 Sotlich Rd, Ely, MN 55731-8239 | 2015-02-20 |
| 1366842734 | Meghan Stommes | Nurse Practitioner | 801 Nicollet Mall Ste 400, Minneapolis, MN 55402-2520 | 2014-09-03 |
| 1659710887 | Jessica Williams | Nurse Practitioner | 451 E Saint Germain St Ste 100, Saint Cloud, MN 56304-0761 | 2013-06-20 |
| 1437496700 | Toby Faye Sawyer | Nurse Practitioner | 1001 E Central Entrance Ste 200, Duluth, MN 55811-5525 | 2013-01-07 |
| 1093096927 | Laura J Wilner | Nurse Practitioner | 803 Belsly Blvd # 2, Moorhead, MN 56560-5057 | 2011-09-06 |
| 1861720062 | Linda Marie Christinsen-rengel | Nurse Practitioner | 640 Jackson Street Ms 11101a, Healthpartners Regions Specialty Clinics, Saint Paul, MN 55101 | 2009-11-27 |
| 1831328756 | Health Empowerment Institute | Nurse Practitioner | 2512 W Broadway Ave, Minneapolis, MN 55411-1737 | 2009-07-13 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.