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NPI Code Detail

MEDICARE: PATRICIA LYNN EARLEY

MEDICARE: PATRICIA LYNN EARLEY
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 PractitionerR1369122MN

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 : 1942230263
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LYNN EARLEY
Provider Business Mailing Address
First Line : 4621 E SUPERIOR ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-2338
Country : US
Telephone Number : 218-876-3550
Fax Number : 218-525-7487
Provider Business Practice Location Address
First Line : 4621 E SUPERIOR ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-2338
Country : US
Telephone Number : 218-876-3550
Fax Number : 218-525-7487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 04/29/2011

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Directions to “ PATRICIA LYNN EARLEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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