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General NPI Number Information
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NPI Number | 1518222355
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Entity Type | Individual
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Provider Name | KARISSA IGNASZEWSKI PMHNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 905 FOREST AVE E
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City | MORA
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State | MN
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Zip | 55051-1624
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Country | US
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Telephone | 320-679-6353
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Fax |
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Provider Business Mailing Address
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Address Line | 501 MAIN ST
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City | SANDSTONE
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State | MN
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Zip | 55072-4410
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Country | US
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Telephone | 320-372-2323
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3729
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License Number State | MN
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