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NPI Code Detail

MEDICARE: MARIE BERNADETTE RAMOS MENDRUN APRN,FNP-C

MEDICARE: MARIE BERNADETTE RAMOS MENDRUN APRN,FNP-C
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 PractitionerAPRN-3459HI
2363L00000XNurse Practitioner95005076CA
3363L00000XNurse PractitionerAPN.1000413-NPCO
4363L00000XNurse Practitioner14258200-4405UT
5363L00000XNurse Practitioner306192AZ
6363L00000XNurse Practitioner10020978OR
7363L00000XNurse PractitionerAP7004115WA

General Provider Information

NPI Number : 1942759220
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE BERNADETTE RAMOS MENDRUN APRN,FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 500 ALA MOANA BLVD STE 7400
Second Line :
City : HONOLULU
State : HI
Zip : 96813-4902
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2016
Last Update Date : 01/05/2026

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