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Lennet Fay Radke, FNP-BC
Nurse Practitioner in Stillwater, Minnesota
NPI 1821394321

Lennet Fay Radke is a Nurse Practitioner based in Bloomington, MN. Lennet Fay Radke practices in Stillwater, MN and has the professional credentials of FNP-BC. The NPI Number for Lennet Fay Radke is 1821394321 and holds a License No. 1625-33 (Minnesota).

The current practice location address for Lennet Fay Radke is 927 Churchill St W, Stillwater, MN and can be reached out via phone at 651-439-5330 and via fax at 651-430-4528.

Location: 927 Churchill St W, Stillwater, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821394321
Provider Name
Lennet Fay Radke
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
927 Churchill St W, Stillwater, MN, 55425-4516
Phone Number
651-439-5330
Fax Number
651-430-4528
Provider Enumeration Date
01/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95079-30 01 WI WI STATE RN LICENSE
institution
Provider Business Practice Location Address Details
Address
927 Churchill St W
City
Stillwater
State
Minnesota
Zip
55082-6605
Phone Number
651-439-5330
Fax Number
651-430-4528
person
Provider Business Mailing Address Details
Address
927 Churchill St W
City
Stillwater
State
Minnesota
Zip
55082-6605
Phone Number
651-439-5330
Fax Number
651-430-4528
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
7073 (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.
1625-33 (Wisconsin)
Definition
Definition to come...
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