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KATIE MARIE HALDER RN, CNP

Nursing Service Providers Registered Nurse Community Health

Provider NPI: 1396971461

Provider Information:
 KATIE MARIE HALDER RN, CNP
Gender: F
Not Sole Proprietor

Practice Location:
109 W JESSIE ST  RUSHFORD, MN 55971-8837 US
Tel: 507-864-7726  Fax: --

Business Mailing Address:
855 MANKATO AVE  WINONA, MN 55987-4868 US
Tel: 507-454-3650  Fax: --

NPI Information:
NPI: 1396971461
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WC1500XNursing Service Providers
Registered Nurse
Community Health
MNR 156915-5
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MNR156915-5

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LF0000X

Type:

Classification:



Definition:



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