Individual
JEANNE MARIE ANTONICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 262-3441
Mailing address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-4881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4618
MN
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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