MARK ROY HARSTAD RN NPI 1023542255

NPI Information

  • NPI: 1023542255
  • Provider Name: MARK ROY HARSTAD, RN
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 206 SPRUCE AVE NE
    BUFFALO, MN
    ZIP 55313
  • Phone: (763) 333-6075

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NPI Details

Mark Roy Harstad, RN is a critical care medicine registered nurse in Buffalo, MN. Mark Roy Harstad, RN NPI is 1023542255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

206 SPRUCE AVE NE
BUFFALO, MN
ZIP 55313-517
Phone: (763) 333-6075

The enumeration date for this NPI number is 4/13/2017 and was last updated on 4/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care MedicineR201897-7MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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