MICHELLE ANN WANNER


Address: 15115 Dove Trl, Attn: Minuteclinic, Apple Valley, MN 55124-7871
Phone: 8663872727

MICHELLE ANN WANNER (NPI# 1639220080) 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) 1639220080
Entity Type Individual
Full Name MICHELLE ANN WANNER
Credential PA-C
Practice Address 15115 Dove Trl
Attn: Minuteclinic
Apple Valley
MN 55124-7871
Practice Telephone 8663872727
Mailing Telephone 8663872727
Enumeration Date 2007-01-14
Last Update Date 2017-03-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
2553-23 WI Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
10360 MN Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
3553 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15115 DOVE TRL
ATTN: MINUTECLINIC
City APPLE VALLEY
State MN
Zip Code 55124-7871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730714916 Nermine Sedrak Pharmacist 15115 Dove Trl, Apple Valley, MN 55124-7871 2020-03-07
1770118218 Renney Susan Britto Pharmacist 15115 Dove Trl, Apple Valley, MN 55124-7871 2020-03-05
1376957613 Lisa F Mohamed Singh Nurse Practitioner 15115 Dove Trl, Apple Valley, MN 55124-7871 2014-06-15
1124391461 Gloria Abaka Ayuck Nurse Practitioner 15115 Dove Trl, Apple Valley, MN 55124-7871 2012-02-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574672 Carol Susan Elstad Counselor Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 2020-09-23
1629612569 Gadaa Care Transportation Non-emergency Medical Transport (VAN) 7296 157th St W, Apple Valley, MN 55124 2019-11-04
1356831515 Dustin W Seabolt Hearing Instrument Specialist 15071 Dunwood Trl, Apple Valley, MN 55124 2018-05-14
1639687189 Dentalign P.a. Clinic/Center 15875 Emperor Avenue, Apple Valley, MN 55124 2018-01-18
1982126926 Apex Family Chiropractic LLC Chiropractor 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 2017-07-12
1821523028 Robin Marie Parker Nurse Practitioner 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 2017-04-25
1134578826 Ellen Denise Jacobson Dentist 14682 Pennock Avenue South, Apple Valley, MN 55124 2016-06-03
1831568708 Clearriver Inc. Home Health 13790 Elkhart Rd, Apple Valley, MN 55124 2015-09-21
1265826879 Next Level Fitness Co Public Health or Welfare 14645 Felton Ct, 104, Apple Valley, MN 55124 2015-03-20
1568872216 Jon Butala Marriage & Family Therapist 4300 W 147th St., Suite 204, Apple Valley, MN 55124 2014-05-04
Find all providers in zip 55124

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144780016 Lauren Nicole Smith Physician Assistant 18112 Outer Hwy 18 Ste 101, Apple Valley, CA 92307-2211 2019-03-25
1275979742 Michelle A. Oropeza Physician Assistant 18112 Outer Hwy 18, Suite 101, Apple Valley, CA 92307-2211 2013-05-10
1265469712 William Joseph Wilson Physician Assistant 18522 Highway 18, Suite 102, Apple Valley, CA 92307 2006-06-27
1124072087 Bruce L Jackson Physician Assistant 15863 Kasota Rd, Apple Valley, CA 92307-4507 2006-05-22
1053369009 Michael S Erskine Physician Assistant 16003 Tuscola Rd, Suite F, Apple Valley, CA 92307-1319 2006-05-04
1790315273 Sarah Barnes Physician Assistant 14655 Galaxie Ave, Apple Valley, MN 55124-8602 2020-01-23
1801433305 Vishal Verma Physician Assistant 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308-5152 2019-12-03
1235697376 Elias Christopher Frangos Physician Assistant 15962 Quantico Rd, Apple Valley, CA 92307-1302 2019-03-07
1184122046 Daniel Joseph Lunsford Durbin Physician Assistant 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 2018-01-25
1194253377 Paul Sangwook Rhee Physician Assistant 18300 Us Highway 18, Apple Valley, CA 92307-2206 2017-05-31
Find all providers in APPLE VALLEY

Competitor

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City APPLE VALLEY
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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