Healthcare Provider Details

I. General information

NPI: 1780194654
Provider Name (Legal Business Name): FAITH IVANA LUDWIGS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 S FRONT ST
MANKATO MN
56001-3802
US

IV. Provider business mailing address

631 S FRONT ST
MANKATO MN
56001-3802
US

V. Phone/Fax

Practice location:
  • Phone: 712-541-8597
  • Fax:
Mailing address:
  • Phone: 712-541-8597
  • Fax: 507-607-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberA097576
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8395
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: