Healthcare Provider Details

I. General information

NPI: 1255535399
Provider Name (Legal Business Name): PATRICA ELAINE CURWICK REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45741 GRACE LAKE RD
SANDSTONE MN
55072-3203
US

IV. Provider business mailing address

17230 NOOPIMING DRIVE
ONAMINA MN
56359
US

V. Phone/Fax

Practice location:
  • Phone: 320-384-0149
  • Fax: 320-384-0163
Mailing address:
  • Phone: 320-532-7775
  • Fax: 320-532-7524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberR 136393-7
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: