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NPI Code Detail

MEDICARE: TERRA R MACKENTHUN RN, MSN

MEDICARE:   TERRA R MACKENTHUN  RN, MSN
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
1163W00000XRegistered Nurse1929931MN

General Provider Information

NPI Number : 1972446730
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRA R MACKENTHUN RN, MSN
Provider Business Mailing Address
First Line : 1 VETERANS DR
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-2309
Country : US
Telephone Number : 612-725-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1 VETERANS DR
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-2309
Country : US
Telephone Number : 612-725-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ TERRA R MACKENTHUN RN, MSN” Practice Location

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