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Mr. Richard John Mastenbrook, CNP
Nurse Practitioner in Chisago City, Minnesota
NPI 1619386083

Richard John Mastenbrook is a Nurse Practitioner based in Saint Paul, MN. Richard John Mastenbrook practices in Chisago City, MN and has the professional credentials of CNP. The NPI Number for Richard John Mastenbrook is 1619386083 and holds a License No. AG0714121 (Minnesota).

The current practice location address for Richard John Mastenbrook is 11725 Stinson Ave, Chisago City, MN and can be reached out via phone at 651-257-8850 and via fax at 651-257-8852.

Location: 11725 Stinson Ave, Chisago City, MN, 55104-3727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619386083
Provider Name
Richard John Mastenbrook
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
11725 Stinson Ave, Chisago City, MN, 55104-3727
Phone Number
651-257-8850
Fax Number
651-257-8852
Provider Enumeration Date
08/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11725 Stinson Ave
City
Chisago City
State
Minnesota
Zip
55013-9542
Phone Number
651-257-8850
Fax Number
651-257-8852
person
Provider Business Mailing Address Details
Address
11725 Stinson Ave
City
Chisago City
State
Minnesota
Zip
55013-9542
Phone Number
651-257-8850
Fax Number
651-257-8852
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AG0714121 (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.
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