Individual
MS. CYNTHIA ANN SCHACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP OR PFMHNP
Contact information
Practice address
1526 30TH ST NW, BEMIDJI, MN 56601-4140
(218) 751-0887
(218) 759-4807
Mailing address
1526 30TH ST NW, BEMIDJI, MN 56601-4140
(218) 751-0887
(218) 759-4807
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R1590218
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154419877
—
MN
Enumeration date
10/10/2006
Last updated
05/12/2025
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