Individual
LINDA RAE VANROEKEL KUISMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC/FNP
Contact information
Practice address
1125 W RIVER RD, DETROIT LAKES, MN 56501-2722
(218) 844-5832
(218) 844-5834
Mailing address
56139 110TH ST, MENAHGA, MN 56464-2109
(218) 844-5832
(218) 844-5834
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2515
MN
363LF0000X
Family Nurse Practitioner
NP098824-5
MN
Other
Enumeration date
04/19/2006
Last updated
06/10/2019
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