Individual
AGNES LEONELLA FAUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6480
Mailing address
3110 SANTA FE TRL, SAINT CLOUD, MN 56301-9140
(320) 253-8027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 73027-3
MN
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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