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NPI Code Detail

MEDICARE: LAURIE JEAN ORSTAD MS CFNP

MEDICARE: LAURIE JEAN ORSTAD MS CFNP
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
1363LF0000XFamily Nurse PractitionerR1628465MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538153044
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE JEAN ORSTAD MS CFNP
Provider Business Mailing Address
First Line : 3758 ORCHARD AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-2149
Country : US
Telephone Number : 763-522-6867
Fax Number :
Provider Business Practice Location Address
First Line : 900 NICOLLET MALL
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55403-2530
Country : US
Telephone Number : 612-659-7111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 01/16/2009

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