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Individual

NANCY RAE WADSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 821-1096
Mailing address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 855-1115

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1393596
MN
363L00000X
Nurse Practitioner
Primary
7113
MN

Other

Enumeration date
02/19/2020
Last updated
08/11/2025
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