MS. JULIE ANN WETTSTEIN (NPI# 1225289796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225289796 |
Entity Type | Individual |
Full Name | MS. JULIE ANN WETTSTEIN |
Credential | LADC |
Practice Address |
18971 Barrington Dr Eden Prairie MN 55346-1032 |
Practice Telephone | 6129865437 |
Mailing Telephone | 6129865437 |
Enumeration Date | 2008-10-02 |
Last Update Date | 2008-10-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
301354 | MN | Behavioral Health & Social Service Providers |
Street Address |
18971 BARRINGTON DR |
City | EDEN PRAIRIE |
State | MN |
Zip Code | 55346-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528608874 | Maria Phelps | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346 | 2020-01-14 |
1225447113 | Abby Johnson | Specialist/Technologist | 16550 W 78th Street, Suite B, Eden Prairie, MN 55346 | 2014-08-05 |
1891891438 | Celleration Inc | Durable Medical Equipment & Medical Supplies | 6321 Bury Drive Suite 15, Celleration, Inc, Eden Prairie, MN 55346 | 2006-09-14 |
1407863012 | Matthew Reece Meyer | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
1902859887 | Minnesota Medical Scanning Corporation | Radiology | 16570 West 78th Street, Ste 1, Eden Prairie, MN 55346 | 2006-05-19 |
1821098369 | Linda Eld | Nurse Practitioner | 16490 W 78th St, Eden Prairie, MN 55346 | 2005-07-27 |
1649761735 | Kevin Rodda | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346 | 2018-05-23 |
1285641803 | Anthony August Pesola | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
1508873118 | Osberg Pesola Scamp Kaivo Dds Pa | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
1831106442 | James Charles Osberg | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
Find all providers in zip 55346 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
1225164536 | Chantelle Jessica Hoogland | Counselor | 250 Prairie Center Dr Ste 202, Eden Prairie, MN 55344-7911 | 2007-02-23 |
1710526348 | Denyal Kimber Leclaire | Counselor | 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 | 2019-12-30 |
1023656519 | Claire Rosen | Counselor | 800 Prairie Center Dr Ste 210, Eden Prairie, MN 55344-7306 | 2019-12-15 |
1043791676 | Nicole Kay Frass | Counselor | 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 | 2018-08-22 |
1083120984 | Breanna Wagner | Counselor | 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 | 2017-12-14 |
1821524497 | Madison Gruenewald | Counselor | 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 | 2017-05-02 |
1811349764 | Nancy Ann Lowe | Counselor | 11010 Prairie Lakes Dr, # 350, Eden Prairie, MN 55344-3884 | 2016-07-04 |
1093184855 | Kimberly Roseman | Counselor | 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 | 2015-09-22 |
1851706535 | Kris Carl Wicklund I | Counselor | 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | 2014-06-21 |
Find all providers in EDEN PRAIRIE |
City | EDEN PRAIRIE |
Zip Code | 55346 |
Please comment or provide details below to improve the information on MS. JULIE ANN WETTSTEIN.
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.