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Individual

MARGIE RUTH NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-5157
(320) 634-2244
Mailing address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-5157
(320) 634-2244

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1104057
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
088H6NE
BLUE CROSS PROVIDER #
MN
05
122525100
MN
01
138019
UCARE PROVIDER #
MN
01
P00293961
RAILROAD MEDICARE #
MN
Enumeration date
09/25/2006
Last updated
07/21/2022
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