JOHN EDWIN SLETTEDAHL RN CNP NPI 1154380939

NPI Information

  • NPI: 1154380939
  • Provider Name: JOHN EDWIN SLETTEDAHL, RN, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 400 E 3RD ST
    DULUTH, MN
    ZIP 55805
  • Phone: (218) 786-8364

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NPI Details

John Edwin Slettedahl, RN, CNP is a family nurse practitioner in Duluth, MN. John Edwin Slettedahl, RN, CNP NPI is 1154380939. 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:

400 E 3RD ST
DULUTH, MN
ZIP 55805-951
Phone: (218) 786-8364

The enumeration date for this NPI number is 3/21/2006 and was last updated on 5/12/2011.

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
1363LF0000XNurse PractitionerFamilyR1336786MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
136090500MEDICAIDWISCONSIN
2500006296MEDICARE PINMINNESOTA
3R11768MEDICARE UPIN
41154380939MEDICAIDMINNESOTA

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: 3/30/2025

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