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Lisa Vanwatermulen, RN,NP
Family Nurse Practitioner in Mankato, Minnesota
NPI 1740308527

Lisa Vanwatermulen is a Family Nurse Practitioner based in Mankato, MN and is specialized in Family. Lisa Vanwatermulen practices in Mankato, MN and has the professional credentials of RN,NP. The NPI Number for Lisa Vanwatermulen is 1740308527 and holds a License No. R145777-5 (Minnesota).

The current practice location address for Lisa Vanwatermulen is 1230 E Main St, Mankato, MN and can be reached out via phone at 507-625-1811. You can also correspond with Lisa Vanwatermulen through the mailing address at 1230 E MAIN ST, MANKATO, MN - 56001-5066 (mailing address contact number: 507-625-1811).

Location: 1230 E Main St, Mankato, MN, 56001-5066
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Provider Profile Details
NPI Number
1740308527
Provider Name
Lisa Vanwatermulen
Credential
RN,NP
Provider Entity Type
Individual
Gender
Female
Address
1230 E Main St, Mankato, MN, 56001-5066
Phone Number
507-625-1811
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37M90VA 01 MN BCBSM
P00602861 01 MN RR MEDICARE
308637300 05 MN
institution
Provider Business Practice Location Address Details
Address
1230 E Main St
City
State
Zip
56001-5066
Phone Number
507-625-1811
Fax Number
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Provider Business Mailing Address Details
Address
1230 E Main St
City
State
Zip
56001-5066
Phone Number
507-625-1811
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R145777-5 (Minnesota)
Definition
Definition to come...
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