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Contact Information

MANDY R BLUME, MS RN CGNP
4810 197TH ST E
FARIBAULT, MN55021-8078
 Phone: 507-333-2748
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MANDY R BLUME · (Female)

NPI Number 1134378433
Status Active
Credentials MS RN CGNP
Entity Individual
Enumeration date 09/11/2008
Last updated 12/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R156724-1
Hospital affiliation(s) Not Available
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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