Individual
MRS. RENOTTA GAIL STAINBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4801 VETERANS DR, MAIL ROUTING: 112A, SAINT CLOUD, MN 56303-2015
(320) 255-6480
Mailing address
3312 40TH ST S, SAINT CLOUD, MN 56301-9340
(320) 252-3125
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
083577-0
MN
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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