Individual
PAUL RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Contact information
Practice address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3650
Mailing address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5415
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1577998
STATE LICENSE
MN
Enumeration date
09/13/2017
Last updated
07/21/2022
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