Dominique Rae Stadler in Owatonna - Licensed Practical Nurse
Dominique Rae Stadler - NPI 1770798936
Dominique Rae Stadler is a Licensed Practical Nurse in Owatonna, Minnesota. Dominique Rae Stadler practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Dominique Rae Stadler is 1770798936. The last update date is 2007-07-08.
Dominique Rae Stadler's current location address is 605 Hillcrest Ave Ste 130, Owatonna, Minnesota. You can contact this provider via phone number 5074510290 and fax number 5074510291. The mailing address for Dominique Rae Stadler is 605 Hillcrest Ave Ste 130, Owatonna, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominique Rae Stadler |
|---|---|
| Address | 605 Hillcrest Ave Ste 130, Owatonna, Minnesota |
| Phone Number | 5074510290 |
| Fax Number | 5074510291 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1770798936 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 605 Hillcrest Ave Ste 130 |
|---|---|
| City | Owatonna |
| State | Minnesota (MN) |
| Post Code | 550603680 |
| Phone Number | 5074510290 |
| Fax Number | 5074510291 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | L063006-9 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique provider identifier assigned to Dominique Rae Stadler?
The Dominique Rae Stadler has been issued the NPI (National Provider Identifier) 1770798936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Dominique Rae Stadler's physical address?
The Dominique Rae Stadler is physically located at 605 Hillcrest Ave Ste 130, in the city of Owatonna, MN, with the postal code 550603680.
What is Dominique Rae Stadler's area of expertise and its corresponding taxonomy classification?
The Dominique Rae Stadler's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.
When did Dominique Rae Stadler receive its 1770798936 assignment?
The Dominique Rae Stadler was assigned its 1770798936 on 2007-05-11, which is the date when this unique identifier was issued to the organization.
When was the Dominique Rae Stadler's information last updated?
The Dominique Rae Stadler's information was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY