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NPI Code Detail

MEDICARE: LINDA MT HELGESON NP

MEDICARE:   LINDA MT HELGESON  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerR0997553MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HP83855OTHERHEALTHPARTNERS
20127904OTHERMEDICA
31052867OTHERPREFERREDONE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194910505
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MT HELGESON NP
Provider Business Mailing Address
First Line : 3807 GREENLEAF AVE NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-5817
Country : US
Telephone Number : 218-751-9746
Fax Number : 218-759-0620
Provider Business Practice Location Address
First Line : 3807 GREENLEAF AVE NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-5817
Country : US
Telephone Number : 218-751-9746
Fax Number : 218-759-0620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2007
Last Update Date : 09/30/2008

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Directions to “ LINDA MT HELGESON NP” Practice Location

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