Individual
CAROLYN DREVLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1950 CENTER CREEK DR, SUITE 100, FAIRMONT, MN 56031-3428
(507) 238-4968
Mailing address
1950 CENTER CREEK DR, SUITE 100, FAIRMONT, MN 56031-3428
(507) 238-4968
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1270800
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090K6DR
BXBS
MN
05
—
597432100
—
MN
Enumeration date
01/26/2006
Last updated
07/22/2013
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