Unknown Individual – Primary Care Nurse Practitioner, NPI 1407826159
Primary Care Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
717, South State Street, Fairmont, Martin County, Minnesota, 56031, United States
SUITE 900
FAIRMONT, MN 560314469
Phone: (507) 238-4949
Fax: (507) 238-3377
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Clinical Psychologist | MN | |
| Emergency Medicine, Hospitalist, Emergency Medicine, Internal Medicine | MI | |
| Emergency Medicine | CO | |
| - | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN |
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