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NORTH COUNTRY PSYCHIATRY NPI 1760078760


NPI Information

NPI: 1760078760
Provider Name: NORTH COUNTRY PSYCHIATRY
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 24D2243099

Address:
1082 HIGHWAY 3 S
NORTHFIELD, MN
ZIP 55057
Phone: (507) 301-6657
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NORTH COUNTRY PSYCHIATRY is a psychiatric/mental health nurse practitioner in Northfield, MN. NORTH COUNTRY PSYCHIATRY NPI is 1760078760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1082 HIGHWAY 3 S
NORTHFIELD, MN
ZIP 55057-088
Phone: (507) 301-6657

The provider's authorized official is Robert Daun .
The authorized official title is Sole-member and has the following contact phone number (612) 708-4754.

The CLIA number assigned to this NPI record is 24D2243099 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 2/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.