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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
191660-1 | MN | Nursing Service Providers |
Street Address |
15049 368TH STREET |
City | MENAHGA |
State | MN |
Zip Code | 56464 |
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 |
Find all providers in zip 56464 |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
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 |
1205218989 | Kristen Louise Siewert | Registered Nurse | 3249 Noble Ave N, Golden Valley, MN 55422-3016 | 2015-06-18 |
Find all providers with the same taxonomy |
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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.