Mary Mattison-wynn (NPI# 1649202755, PAC ID# 2466450143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1649202755 |
| PAC ID by PECOS | 2466450143 |
| Professional Enrollment ID | I20081119000074 |
| Full Name | Mary Mattison-wynn |
| Organization Legal Name | NURA PA |
| Address |
9550 Upland N Ln Suite 150 Maple Grove MN 55369-4493 |
| Phone Number | 7635376000 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 2769378942 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7400 France S Ave, Suite 100, Edina, MN 55435-4738 | 7635376000 | NURA PA |
| 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 | 7635376000 | NURA PA |
| Organization Legal Name | NURA PA |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rougui B Bah | Nurse Practitioner | Nura Pa | 7400 France S Ave, Suite 100, Edina, MN 55435-4738 |
| Nathaniel J Crider | Physical Medicine and Rehabilitation | Nura Pa | 7390 France S Ave, Edina, MN 55435-4500 |
| Michael D Spiry | Physical Therapy | Nura Pa | 2104 Northdale Nwblvd, Suite 220, Minneapolis, MN 55433-3046 |
| Diane M Budnick | Nurse Practitioner | Nura Pa | 480 Osborne Nerd, Suite 260, Fridley, MN 55432-2866 |
| Robert H Long | Pain Management | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Irene A Lenmark | Physical Therapy | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Melissa A Burgess | Nurse Practitioner | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Orina Machoka | Nurse Practitioner | Nura Pa | 2104 Northdale Nwblvd, Suite 220, Minneapolis, MN 55433-3046 |
| Kerry Ryan Brockberg | Psychologist, Clinical | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Gary D Benke | Anesthesiology | Nura Pa | 2104 Northdale Nwblvd, Suite 220, Minneapolis, MN 55433-3046 |
| Street Address |
9550 UPLAND N LN SUITE 150 |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-4493 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronni M Molinaro | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Ann M Abel | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Kelly M Shook | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Robert H Long | Pain Management | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Irene A Lenmark | Physical Therapy | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Melissa A Burgess | Nurse Practitioner | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Kerry Ryan Brockberg | Psychologist, Clinical | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Darren R Mcdonald | Otolaryngology | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Kathleen H Puls | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Lorraine Marie Richards | Nurse Practitioner | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | MAPLE GROVE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Mary Mattison-wynn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.