Individual
MS. KARRIE LYNN FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
424 121ST AVE NE, BLAINE, MN 55434-3383
(763) 670-5369
Mailing address
424 121ST AVE NE, BLAINE, MN 55434-3383
(763) 670-5369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09180754
MN
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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