MANDI SUE COUNTERS


Address: 14635 Pennock Ave Ste 200, Saint Paul, MN 55124-6587
Phone: 9524320700

MANDI SUE COUNTERS (NPI# 1548506405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548506405
Entity Type Individual
Full Name MANDI SUE COUNTERS
Credential APNP
Practice Address 14635 Pennock Ave Ste 200
Saint Paul
MN 55124-6587
Practice Telephone 9524320700
Practice Fax Number 9524320701
Mailing Telephone 9524320700
Mailing Fax Number 9524320701
Enumeration Date 2012-12-21
Last Update Date 2020-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3236 MN Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R 156801-7 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14635 PENNOCK AVE STE 200
City SAINT PAUL
State MN
Zip Code 55124-6587

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1568002160 Amazing Grace Health Nurse Practitioner 625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585 2020-01-10
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1710403118 Liv-on Family Care Center, Pa Nurse Practitioner 1210 County Road J Ste 102, Saint Paul, MN 55127-6826 2017-08-17
1225588668 Katie-anne Swenson Nurse Practitioner 2550 University Ave W Ste 325s, Saint Paul, MN 55114-1903 2016-10-10
1619329133 Lamin Jaiteh Nurse Practitioner 2550 University Ave W Ste 325-s, Saint Paul, MN 55114-1052 2016-07-08
1457746281 Florence Fon Nurse Practitioner 5 County Road B E Ste 3, Saint Paul, MN 55117-1945 2015-03-30
1639576994 Angela Denise Lentz Nurse Practitioner 178 9th St E Ste 300, Saint Paul, MN 55101-2577 2014-12-01
1528315470 Amanda Jeanne Carroll Nurse Practitioner 1358 Kent St, Saint Paul, MN 55117-4226 2012-08-09
1063673663 Elizabeth A Jacox Nurse Practitioner 355 Marshall Ave, Saint Paul, MN 55102-1809 2008-06-17
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Competitor

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City SAINT PAUL
Zip Code 55124

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Dataset Information

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.

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