Individual
PATRICIA ANN FENSTERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066
(651) 267-5000
Mailing address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4432
MN
363LA2100X
Acute Care Nurse Practitioner
AP60461334
WA
363LA2100X
Acute Care Nurse Practitioner
R120556-1
MN
Other
Enumeration date
07/10/2014
Last updated
11/25/2024
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