Braaten, Marie

Braaten, Marie is an individual health care provider with primary practice located at 712 South Cascade Street , Fergus Falls MN 56537-2813. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Braaten, Marie can be contacted via phone (218) 736-8000.

Contact Information

Primary practice address
712 South Cascade Street Fergus Falls MN 56537-2813
Phone: (218) 736-8000
Fax: (218) 736-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0257609-23 Minnesota

Profile Details

NPI number 1134149552
LBN Legal business name Braaten, Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134149552 NPPES
Minnesota Other 04-12780 MEDICA NUMBER
Minnesota Other 1011589 MEDICA NUMBER
Minnesota MEDICAID 19848 MEDICA NUMBER
Minnesota Other 29T22BR MEDICA NUMBER
Minnesota Other HP26497 MEDICA NUMBER
Minnesota Other 123438 MEDICA NUMBER
Minnesota MEDICAID 747022300 MEDICA NUMBER

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