Individual
LAURA J FODNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1216 RYANS RD, WORTHINGTON, MN 56187-1780
(507) 372-2921
Mailing address
117 OKLAHOMA AVE, ADRIAN, MN 56110-1143
(507) 227-0821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8746
MN
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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