MARY S FORSLUND (NPI# 1205071248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205071248 |
Entity Type | Individual |
Full Name | MARY S FORSLUND |
Credential | APNP |
Practice Address |
480 Osborne Rd Ne Ste 260 Fridley MN 55432-2866 |
Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
Practice Telephone | 7632363800 |
Practice Fax Number | 7632363821 |
Mailing Telephone | 6122625000 |
Enumeration Date | 2008-12-04 |
Last Update Date | 2019-10-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 6483 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6483 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
480 OSBORNE RD NE STE 260 |
City | FRIDLEY |
State | MN |
Zip Code | 55432-2866 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801835103 | Joseph P Marnell | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-06-05 |
1710529003 | Amy Stignani | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2019-10-08 |
1811350515 | Taylor Atchison | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2016-03-30 |
1578965398 | Brian Kovach | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2014-09-24 |
1447673918 | Natalie Overmann | Nurse Practitioner | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2014-02-03 |
1639362361 | Alfredo A Massa Succar | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2007-08-27 |
1750417168 | Brian Alan Palmer | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 | 2007-02-27 |
1811061377 | Robin M. Bixler | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-11-17 |
1396857975 | Misty Tu | Contractor | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-08-31 |
1598700528 | Allina Health System | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
Find all providers in zip 55432 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MARY S FORSLUND.
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.