MEDICARE: CHARLOTTE SZABO

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	CNP1890	MN

General Provider Information

NPI Number	:	1346529922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE SZABO

Provider Business Mailing Address
First Line	:	11334 86TH AVE N
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-4528
Country	:	US
Telephone Number	:	763-255-2125
Fax Number	:	763-255-2126

Provider Business Practice Location Address
First Line	:	11334 86TH AVE N
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-4528
Country	:	US
Telephone Number	:	763-255-2125
Fax Number	:	763-255-2126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	05/27/2025

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Directions to “ CHARLOTTE SZABO ” Practice Location

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