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Individual

LINDA RUTH HERTZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R.N.,C.N.S.

Contact information

Practice address
600 REED ST, SUITE 115, MANKATO, MN 56001-6410
(507) 625-4060
(507) 625-3915
Mailing address
115 ECHO ST, #406, MANKATO, MN 56001-6156
(507) 625-4060
(507) 625-3915

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0349305
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141429
UCARE
MN
01
38251
HEALTH PARTNERS
MN
01
383R5HE
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
08/25/2005
Last updated
07/08/2007
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