NPI Profile for KATIE M HALDER in RUSHFORD, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Community Health |
163WC1500X |
| NPI # | 1396971461 |
|
| Status | Active | |
| Credentials | RN, CNP | |
| Entity | Individual | |
| Enumeration date | 06/03/2009 | |
| Last updated | 07/22/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KATIE M HALDER
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