COLLEEN LESLIE BERTTUNEN


Address: 15049 368th Street, Menahga, MN 56464
Phone: 2188496130

COLLEEN LESLIE BERTTUNEN (NPI# 1144561457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144561457
Entity Type Individual
Full Name COLLEEN LESLIE BERTTUNEN
Credential RN
Practice Address 15049 368th Street
Menahga
MN 56464
Practice Telephone 2188496130
Practice Fax Number 2186314228
Mailing Telephone 2188496130
Mailing Fax Number 2186314228
Enumeration Date 2013-03-12
Last Update Date 2013-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
191660-1 MN Nursing Service Providers

Office Location

Street Address 15049 368TH STREET
City MENAHGA
State MN
Zip Code 56464

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NPI Name Taxonomy Address Enumeration
1164773289 Ernest Ray Huhta Jr. Technician, Other 19- 3rd St Se, Menahga, MN 56464 2012-09-28
1689739815 Ind School Dist 821 Local Education Agency (LEA) 216 Aspen Ave Se, Menahga, MN 56464 2006-12-27
1639263981 Snyders Drug Pharmacy Hwy 71, Menahga, MN 56464 2006-10-03
1629169297 Restemayer Family Dentistry, PC Dentist 16 Birch Avenue N.e, Menahga, MN 56464 2006-09-27
1245284157 Dakota Clinic, Ltd. Family Medicine 212 Aspen Ave Ne, Menagha, MN 56464 2006-05-22
1932260247 Dakota Clinic Ltd Durable Medical Equipment & Medical Supplies 212 Aspen Ave Ne, Menahga, MN 56464 2006-12-12
1639167760 Charles R Restemayer Dentist 16 Birch Ave Ne, Menahga, MN 56464-0130 2005-10-12
1609108141 Seip Drug LLC Pharmacy 24 Aspen Avenue Ne, Menahga, MN 56464-0272 2010-02-09
1285630491 David Lee Andress Chiropractor 19 3rd Street Se, Menahga, MN 56464-0385 2005-06-22
1952946907 Jared Skoog Occupational Therapist 58534 State Highway 87, Menahga, MN 56464-2002 2019-11-14
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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1134762404 Crystal Marie Macfarlane Registered Nurse 2232 Jefferson St, Duluth, MN 55812-2114 2019-10-19
1689237638 Jill Wackler Registered Nurse 2404 Greenbriar Ln, Buffalo, MN 55313-2368 2019-04-16
1871082354 Shelly Lynn Manthey Registered Nurse 2701 W Superior St Ste 101, Duluth, MN 55806-1857 2018-05-09
1184153579 Emily Marie Domeier Registered Nurse 1961 Premier Dr., Suite 340, Mankato, MN 56001 2017-06-08
1366993339 Kristen Mellen Registered Nurse 104 Buckingham Ct, Mankato, MN 56001-5576 2016-10-14
1821440165 Lisa Moon Registered Nurse 13723 Findlay Ave, Apple Valley, MN 55124-8070 2016-07-11
1669857587 Kacey Ann Kasel Registered Nurse 820 Winnebago Ave, Suite 3, Fairmont, MN 56031-3645 2015-07-21
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Competitor

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City MENAHGA
Zip Code 56464

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Dataset Information

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.

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