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Stacy Ann Cederstrom, FNP
Family Nurse Practitioner in Cass Lake, Minnesota
NPI 1174079917

Stacy Ann Cederstrom is a Family Nurse Practitioner based in Cass Lake, MN and is specialized in Family. Stacy Ann Cederstrom practices in Cass Lake, MN and has the professional credentials of FNP. The NPI Number for Stacy Ann Cederstrom is 1174079917 and holds a License No. 4566 (Minnesota).

The current practice location address for Stacy Ann Cederstrom is 425 7Th Street North East, Cass Lake, MN and can be reached out via phone at 218-335-3200 and via fax at 218-335-3300.

Location: 425 7Th Street North East, Cass Lake, MN, 56633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174079917
Provider Name
Stacy Ann Cederstrom
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
425 7Th Street North East, Cass Lake, MN, 56633
Phone Number
218-335-3200
Fax Number
218-335-3300
Provider Enumeration Date
08/31/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CNP4566 01 MN FNP LICENSE
MC3911028 01 MN DNP
institution
Provider Business Practice Location Address Details
Address
425 7Th Street North East
City
Cass Lake
State
Minnesota
Zip
56633
Phone Number
218-335-3200
Fax Number
218-335-3300
person
Provider Business Mailing Address Details
Address
425 7Th Street North East
City
Cass Lake
State
Minnesota
Zip
56633
Phone Number
218-335-3200
Fax Number
218-335-3300
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
CNP4566 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4566 (Minnesota)
Definition
Definition to come...
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