Individual
KATIE BANNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-3441
Mailing address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-3441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8335
MN
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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