Jenell Ruth Mitteness in Willmar - Family

Jenell Ruth Mitteness - NPI 1316162886

Jenell Ruth Mitteness is a Family in Willmar, Minnesota. Jenell Ruth Mitteness practices all healthcare services and medical treatments related to Family. The NPI Number for Jenell Ruth Mitteness is 1316162886. The last update date is 2023-03-28.

Jenell Ruth Mitteness's current location address is 101 Willmar Ave Sw, Willmar, Minnesota. You can contact this provider via phone number 3202315000 and fax number 3202315067. The mailing address for Jenell Ruth Mitteness is 101 Willmar Ave Sw, Willmar, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenell Ruth Mitteness
Address 101 Willmar Ave Sw, Willmar, Minnesota
Phone Number 3202315000
Fax Number 3202315067
Sole Proprietor Y
Credentials RN, CFNP

NPI Number Detail

NPI Number 1316162886
Provider Enumeration Date 2007-04-17
Last Updated Date 2023-03-28

Provider Mailing Address Detail

Address 101 Willmar Ave Sw
City Willmar
State Minnesota (MN)
Post Code 562013556
Phone Number 3202315000
Fax Number 3202315067

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R1371848
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
547642100 MN --

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FAQs about Jenell Ruth Mitteness

What is the Jenell Ruth Mitteness's 1316162886?

The Jenell Ruth Mitteness's NPI (National Provider Identifier) Number is 1316162886. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jenell Ruth Mitteness is located?

The Jenell Ruth Mitteness is situated at the following address: 101 Willmar Ave Sw, Willmar, MN, 562013556.

What is Jenell Ruth Mitteness's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jenell Ruth Mitteness is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.

On what date did the Jenell Ruth Mitteness receive its 1316162886 assignment from the Centers for Medicare & Medicaid Services?

The Jenell Ruth Mitteness was assigned its 1316162886 by the Centers for Medicare & Medicaid Services on 2007-04-17.

As of what date was the information regarding Jenell Ruth Mitteness, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jenell Ruth Mitteness, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-28.

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