Skurdahl, Marilyn M
Skurdahl, Marilyn M is an individual health care provider with primary practice located at 1900 Centracare Cir , Saint Cloud MN 56303-5000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Skurdahl, Marilyn M can be contacted via phone (320) 654-3630.Contact Information
Primary practice address
1900 Centracare Cir
Saint Cloud MN 56303-5000
Phone: (320) 654-3630
Fax: (320) 654-3657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R0957881 | Minnesota |
Profile Details
| NPI number | 1194716811 |
|---|---|
| LBN Legal business name | Skurdahl, Marilyn M |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Dec 13th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194716811 | NPPES |
| Other | 0104090 | MEDICA HEALTH PLANS | |
| Other | 972587300 | MEDICA HEALTH PLANS | |
| Other | 1020209 | MEDICA HEALTH PLANS | |
| Other | 73D95SK | MEDICA HEALTH PLANS | |
| Other | 123625 | MEDICA HEALTH PLANS | |
| Other | HP27108 | MEDICA HEALTH PLANS | |
| Other | 2130074 | MEDICA HEALTH PLANS |
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