Unknown Individual – Obstetrics & Gynecology Nurse Practitioner, NPI 1639799745
Obstetrics & Gynecology Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
26 E SUPERIOR ST STE 401
DULUTH, MN 558022269
Phone: (919) 561-3639
Type: Mailing
420 E 1ST ST
DULUTH, MN 558051901
Phone: (919) 561-3639
Type: Location
1601 KANE LAKE RD
TWO HARBORS, MN 556163029
Phone: (919) 561-3539
Type: Mailing
2151 TROOP DR
SARTELL, MN 563774563
Phone: (919) 561-3639
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55802)
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