| NPI | 1407065824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA HANDEVIDT Owner 507-841-0916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN R0902409) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-01-02 |