Individual
ELIZABETH LOUISE FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303-4913
(320) 240-3157
Mailing address
8664 360TH ST, SAINT JOSEPH, MN 56374-9708
(507) 530-6677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7033
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
09/27/2019
Last updated
10/23/2019
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