Individual
MEGHAN AMANDA STADSKLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
811 3RD AVE E, OSAKIS, MN 56360-4401
(208) 593-0383
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R167372-4
MN
363LF0000X
Family Nurse Practitioner
Primary
384
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861648636
BCBS
MN
05
—
1861648636
—
MN
01
—
HP100037
HEALTH PARTNERS
MN
Enumeration date
08/13/2008
Last updated
10/21/2024
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