person
Stacy Wahl Slettum, FNP
Family Nurse Practitioner in Worthington, Minnesota
NPI 1942202403

Stacy Wahl Slettum is a Family Nurse Practitioner based in Worthington, MN and is specialized in Family. Stacy Wahl Slettum practices in Worthington, MN and has the professional credentials of FNP. The NPI Number for Stacy Wahl Slettum is 1942202403 and holds a License No. 2193 (Minnesota).

The current practice location address for Stacy Wahl Slettum is 1216 Ryans Rd Ste 3, Worthington, MN and can be reached out via phone at 507-375-6522 and via fax at 507-372-6573.

Location: 1216 Ryans Rd Ste 3, Worthington, MN, 56187-1781
person
Provider Profile Details
NPI Number
1942202403
Provider Name
Stacy Wahl Slettum
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1216 Ryans Rd Ste 3, Worthington, MN, 56187-1781
Phone Number
507-375-6522
Fax Number
507-372-6573
Provider Enumeration Date
08/15/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118293500 05 MA
institution
Provider Business Practice Location Address Details
Address
1216 Ryans Rd Ste 3
City
State
Zip
56187-1781
Phone Number
507-375-6522
Fax Number
507-372-6573
person
Provider Business Mailing Address Details
Address
1216 Ryans Rd Ste 3
City
State
Zip
56187-1781
Phone Number
507-375-6522
Fax Number
507-372-6573
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2193 (Minnesota)
Definition
Definition to come...
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