Individual
JODY LYNN WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
106 4TH AVE N, FERGUS FALLS, MN 56537
(218) 998-3778
(218) 998-3187
Mailing address
42002 165TH STREET, FRAZEE, MN 56544
(218) 849-5958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R196834-5
MN
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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