Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1104905660
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
St. Cloud VA Health Care System, 4801, Veterans Drive, St. Cloud, Stearns County, Minnesota, 56303, United States
SAINT CLOUD, MN 563032015
Phone: (320) 255-6350
Type: Location
Southwest 115th Avenue, Princeton, Miami-Dade County, Florida, 33170, United States
PRINCETON, MN 553717002
Phone: (320) 369-4471
Type: Mailing
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 56303)
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