Mary J Bjornstad is a Family in Sullivan, Missouri. Mary J Bjornstad practices all healthcare services and medical treatments related to Family. The NPI Number for Mary J Bjornstad is 1104935261. The last update date is 2021-05-13.
Mary J Bjornstad's current location address is 965 Mattox Dr, Sullivan, Missouri. You can contact this provider via phone number 5738606000. The mailing address for Mary J Bjornstad is 965 Mattox Dr, Sullivan, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary J Bjornstad |
|---|---|
| Address | 965 Mattox Dr, Sullivan, Missouri |
| Phone Number | 5738606000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1104935261 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2021-05-13 |
Provider Mailing Address Detail
| Address | 965 Mattox Dr |
|---|---|
| City | Sullivan |
| State | Missouri (MO) |
| Post Code | 630802365 |
| Phone Number | 5738606000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 72682 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 425813508 | MO | -- |
Post Comment/ Review Below
What is the Mary J Bjornstad's 1104935261?
The Mary J Bjornstad's NPI (National Provider Identifier) Number is 1104935261. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary J Bjornstad's facilities are situated?
The facilities of Mary J Bjornstad are physically located at the following address: 965 Mattox Dr, Sullivan, MO, 630802365.
What is Mary J Bjornstad's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary J Bjornstad is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Mary J Bjornstad receive the assignment of its 1104935261 from the Centers for Medicare & Medicaid Services?
The Mary J Bjornstad was issued its 1104935261 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information related to Mary J Bjornstad most recently updated or refreshed?
The details pertaining to the Mary J Bjornstad, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-05-13.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL