Individual
MICHELLE MARIE QUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP-BC
Contact information
Practice address
1805 HENNEPIN AVE. NORTH, GLENCOE REGIONAL HEALTH SERVICES, GLENCOE, MN 55336
(320) 864-3121
(320) 234-3295
Mailing address
1805 HENNEPIN AVE. NORTH, GLENCOE, MN 55336
(320) 864-3121
(320) 864-7877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R129912-4
MN
363LF0000X
Family Nurse Practitioner
Primary
2775
MN
367A00000X
Advanced Practice Midwife
CNM0071
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897905700
—
MN
Enumeration date
10/27/2006
Last updated
11/25/2020
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