Individual
FIDELIS MUSAU KIUNGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8100
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2462942
MN
363LA2200X
Adult Health Nurse Practitioner
53-76486-051
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
5731
MN
363LG0600X
Gerontology Nurse Practitioner
53-76486-051
KS
Other
Enumeration date
10/06/2014
Last updated
06/14/2019
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