Individual
KAEDI RAE FEHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 FREEPORT AVE NW, SUITE 100A, ELK RIVER, MN 55330-2723
(763) 581-5200
(763) 581-5201
Mailing address
800 FREEPORT AVE NW, SUITE 100A, ELK RIVER, MN 55330-2723
(763) 581-5200
(763) 581-5201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
540987
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
430263
NY
363LA2100X
Acute Care Nurse Practitioner
R 199218-8
MN
363LF0000X
Family Nurse Practitioner
334565
NY
Other
Enumeration date
10/19/2006
Last updated
04/04/2012
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