Individual
DR. CAROL L HARGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS & CLINICS OF MN EMERG PHYS STPL, ST PAUL, MN 55102
(651) 220-6914
Mailing address
10081 DOGWOOD ST NW STE 100, COON RAPIDS, MN 55448-5282
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0741783
MN
363LP0200X
Pediatric Nurse Practitioner
R0741783
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
R0741783
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651242900
—
MN
Enumeration date
11/01/2006
Last updated
10/16/2012
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