Theresa Rose Bly (NPI# 1760460836, PAC ID# 7416999594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760460836 |
| PAC ID by PECOS | 7416999594 |
| Professional Enrollment ID | I20050531000239 |
| Full Name | Theresa Rose Bly |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF MINNESOTA PA |
| Address |
15300 Grove Cir N Maple Grove MN 55369-4469 |
| Phone Number | 8663892727 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810289949 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 2017 Coon Rapids Blvd, Cvs Pharmacy, Coon Rapids, MN 55433-4121 | 7637575615 | MINUTECLINIC DIAGNOSTIC PA |
| 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF MINNESOTA PA |
| 600 Central Ave W, Saint Michael, MN 55376-4594 | 8663892727 | MINUTECLINIC DIAGNOSTIC PA |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF MINNESOTA PA |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Stepanov | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 1300 University Ave W, Saint Paul, MN 55104-4103 |
| Ruth S Mule | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 810 County Rd 42, Burnsville, MN 55337-4426 |
| Joann K Williams Ruppert | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 7200 Valley Creek Plz, Woodbury, MN 55125-2265 |
| Ashley Lynn Peine | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 1515 County Rd B W, Roseville, MN 55113-6005 |
| Catherine A Passe | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 15300 Grove Cir N, Maple Grove, MN 55369-4469 |
| Shannon L Jenson | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 8900 Hwy 7, Minneapolis, MN 55426-3919 |
| Kimberly A Gher | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 |
| Robin L Petrich | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 875 E Main St, Waconia, MN 55387-1081 |
| Kira E Snedden | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 3800 Lexington Ave N, Shoreview, MN 55126-2916 |
| Christy M Berryhill | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 900 Nicollet Mall, Minneapolis, MN 55403-2530 |
| Street Address |
15300 GROVE CIR N |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-4469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Passe | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 15300 Grove Cir N, Maple Grove, MN 55369-4469 |
| Kristen E Petersen | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 15300 Grove Cir N, Maple Grove, MN 55369-4469 |
| Jeffrey M Wieber | Optometry | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | |
| Marguerite N Kibira | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 15300 Grove Cir N, Maple Grove, MN 55369-4469 |
| Nacole L Nelson | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 15300 Grove Cir N, Maple Grove, MN 55369-4469 |
| Anne H Schmidt | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 15300 Grove Cir N, Maple Grove, MN 55369-4469 |
| 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 | NURSE PRACTITIONER |
| City + Specialty | MAPLE GROVE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Theresa Rose Bly.
| 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.