Individual
JEANNE M NOTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4917
(320) 229-5181
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4917
(320) 229-5181
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R1076729
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403678
MEDICA HEALTH PLANS
—
01
—
1001215
PREFERRED ONE
—
01
—
110931
U-CARE
—
01
—
2116656
FIRST HEALTH PLAN
—
01
—
648318600
MEDICAL ASSISTANCE (MA)
—
01
—
86D75NO
BLUE CROSS BLUE SHIELD
—
01
—
HP22752
HEALTH PARTNERS
—
01
—
R1076729
MN LICENSE #
—
Enumeration date
10/25/2005
Last updated
06/20/2008
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