FNP-C Shelly Marie Mahowald, NPI 1336775717
Family Nurse Practitioner in Bemidji, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1336775717
NPI Entity Type Individual
Provider Name FNP-C Shelly Marie Mahowald
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1611 Anne St Nw, Bemidji, MN, US
Provider Mailing Address Po Box 5074, Sioux Falls, SD, US, 571175074
Gender Female
Is Sole Proprietor? Yes
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Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 7109
License State MN
Description Definition to come...

Business Address

FNP-C Shelly Marie Mahowald
1611 Anne St Nw

Bemidji, MN, US

Phone: 218-333-5000
Fax: 218-333-5880

Mailing Address

FNP-C Shelly Marie Mahowald
Po Box 5074
Sioux Falls, SD, US
ZIP 571175074
Phone: 218-333-5000
Fax: 218-333-5880

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