Individual
MRS. MARY BETH KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, FCP
Contact information
Practice address
5512 COUNTY 3, HOKAH, MN 55941-8732
(507) 724-2363
Mailing address
5512 COUNTY 3, HOKAH, MN 55941-8732
(507) 724-2363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R093754
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94G42KN
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/15/2006
Last updated
07/08/2007
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