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Contact Information

STACY A CEDERSTROM, FNP
425 7TH STREET NORTH EAST
CASS LAKE, MN56633
 Phone: 218-335-3200
 Fax: 218-335-3300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STACY A CEDERSTROM · (Female)

NPI Number 1174079917
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/31/2016
Last updated 05/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 4566
  • MN License # CNP4566
  • MN Other MC3911028 DNP
  • MN Other CNP4566 FNP LICENSE
Hospital affiliation(s)
  • CASS LAKE INDIAN HEALTH SERVICES HOSPITAL - (Critical Access)
    425 7TH STREET NW
    CASS LAKE, MN 56633
  • SANFORD BEMIDJI MEDICAL CENTER - (Acute Care)
    1300 ANNE ST NW
    BEMIDJI, MN 56601
  • ST JOSEPHS AREA HEALTH SERVICES - (Critical Access)
    600 PLEASANT AVENUE
    PARK RAPIDS, MN 56470
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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