Individual
NANCY M MCLOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
1230 E MAIN ST PO BOX 8274, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 072876-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02Q96MC
BCBS
MN
01
—
1200704
MEDICA
MN
01
—
121222
UCARE
MN
01
—
1652657
AMERICAS PPO
MN
05
—
477216400
—
MN
01
—
500004160
RR MEDICARE
—
05
—
938134
—
IA
01
—
HP41026
HEALTH PARTNERS
MN
01
—
NA2951023875
PREFERRED ONE
MN
Enumeration date
02/07/2006
Last updated
07/15/2020
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