Individual
KATIE MARIE HALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
109 W JESSIE ST, RUSHFORD, MN 55971-8837
(507) 864-7726
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R 156915-5
MN
363LF0000X
Family Nurse Practitioner
Primary
R156915-5
MN
Other
Enumeration date
06/03/2009
Last updated
07/22/2014
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