Individual
ERIN E BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
1230 E. MAIN STREET, MANKATO CLINIC @ MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
(507) 837-3945
Mailing address
PO BOX 8674 1230 E. MAIN STREET, MANKATO CLINIC, LTD, MANKATO, MN 56002-8674
(507) 625-1811
(507) 837-3945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R118658-3
MN
363LF0000X
Family Nurse Practitioner
Primary
R118658-3
MN
Other
Enumeration date
10/04/2005
Last updated
10/20/2011
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