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NPI Profile for NAOMI R ROEPKE in CROSSLAKE, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1659621977 |
|
| Status | Active | |
| Credentials | CNP (Certified Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 09/13/2012 | |
| Last updated | 01/13/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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NAOMI R ROEPKE
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NAOMI R ROEPKE, CNP