Individual
JORDAN BUENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2081661
MN
363L00000X
Nurse Practitioner
Primary
5214
MN
363LF0000X
Family Nurse Practitioner
5214
MN
Other
Enumeration date
06/26/2017
Last updated
09/28/2020
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