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NPI Code Detail

MEDICARE: KATIE E RANVEK APRN, CNP

MEDICARE: KATIE E RANVEK APRN, CNP
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 Practitioner587MN

General Provider Information

NPI Number : 1801230164
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE E RANVEK APRN, CNP
Provider Business Mailing Address
First Line : 846 HIGH POINT DR NE
Second Line :
City : BYRON
State : MN
Zip : 55920-4407
Country : US
Telephone Number : 507-775-2128
Fax Number :
Provider Business Practice Location Address
First Line : 846 HIGH POINT DR NE
Second Line :
City : BYRON
State : MN
Zip : 55920-4407
Country : US
Telephone Number : 507-775-2128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2013
Last Update Date : 12/12/2023

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