Individual
HENRY JAMES PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GNP
Contact information
Practice address
290 MAIN ST NW, ELK RIVER, MN 55330-1270
(763) 241-5800
Mailing address
290 MAIN ST NW, ELK RIVER, MN 55330-1270
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R0828651
MN
Other
Enumeration date
06/01/2006
Last updated
05/19/2008
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