Radke, Lennet Fay

Radke, Lennet Fay is an individual health care provider with primary practice located at 927 Churchill St W , Stillwater MN 55082-6605. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Radke, Lennet Fay can be contacted via phone (651) 439-5330.

Contact Information

Primary practice address
927 Churchill St W Stillwater MN 55082-6605
Phone: (651) 439-5330
Fax: (651) 430-4528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1625-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7073 Minnesota

Profile Details

NPI number 1821394321
LBN Legal business name Radke, Lennet Fay
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2011
Last updated May 24th, 2021 - about 3 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 1821394321 NPPES
Wisconsin Other 95079-30 WI STATE RN LICENSE

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