Individual
CARLENE KAY CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1400 N UNION AVE, FERGUS FALLS, MN 56537-1248
(218) 739-7377
Mailing address
207 W CHANNING AVE, FERGUS FALLS, MN 56537-2730
(218) 739-7377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 125406-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103542800
MHCP
MN
Enumeration date
12/18/2006
Last updated
07/08/2007
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