MS. CRYSTAL MARIE MACFARLANE (NPI# 1134762404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134762404 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL MARIE MACFARLANE |
| Credential | RN |
| Practice Address |
2232 Jefferson St Duluth MN 55812-2114 |
| Practice Telephone | 2183903182 |
| Mailing Telephone | 2183903182 |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2019-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
2219307 | MN | Nursing Service Providers |
| Street Address |
2232 JEFFERSON ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55812-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
| 1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
| 1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
| 1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
| Find all providers in zip 55812 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082354 | Shelly Lynn Manthey | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-05-09 |
| 1750648846 | Jodi Johannessen | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2012-04-13 |
| 1497387450 | Nichol Lynn Sedivy | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2020-02-07 |
| 1730643560 | Lisa Bruzek | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2019-01-25 |
| 1447721154 | Molly Dwyer Drewlo | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1376014084 | Timothy Lyle Fellman | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1568956381 | Yvonne I Monien | Registered Nurse | 810 E 4th St, Duluth, MN 55805-2147 | 2018-06-15 |
| 1871953075 | Tiffany Degnan | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-03-01 |
| 1962862375 | Jamie Marie Grills | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| 1417317827 | Ma-retta Camp | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.