Individual
MARILYN M SKURDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0957881
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104090
MEDICA HEALTH PLANS
—
01
—
1020209
PREFERRED ONE
—
01
—
123625
U CARE
—
01
—
2130074
FIRST HEALTH PLAN
—
01
—
73D95SK
BLUE CROSS BLUE SHIELD
—
01
—
972587300
MEDICAL ASSISTANCE
—
01
—
HP27108
HEALTH PARTNERS
—
Enumeration date
11/02/2005
Last updated
12/13/2011
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