Individual
KATIE MARIE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 594-4863
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7797
MN
363LA2100X
Acute Care Nurse Practitioner
7797
MN
Other
Enumeration date
04/07/2021
Last updated
05/24/2021
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