Carlson, Mary Bess
Carlson, Mary Bess is an individual health care provider with primary practice located at 7335 110Th St E , Northfield MN 55057-4832. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Carlson, Mary Bess can be contacted via phone (507) 581-0621.Contact Information
Primary practice address
7335 110Th St E
Northfield MN 55057-4832
Phone: (507) 581-0621
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R098201-8 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 1325 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R098201-8 | Minnesota |
Profile Details
NPI number | 1144284274 |
---|---|
LBN Legal business name | Carlson, Mary Bess |
Credentials | ANP, GNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2006 |
Last updated | Jun 18th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144284274 | NPPES |
Minnesota | MEDICAID | 103242900 |
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