Unknown Individual – Family Nurse Practitioner, NPI 1699211862
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
309, Holly Lane, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States
MANKATO, MN 560015422
Phone: (507) 388-2120
Fax: (507) 388-8351
Type: Mailing
1212, East College Drive, Marshall, Lyon County, Minnesota, 56258, United States
MARSHALL, MN 562582010
Phone: (507) 532-3607
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 56001)
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