Doctor Name: | ANNA DEHLER |
NPI Number: | 1770904633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R217480-8 |
Business Practice Address: | 2501 Keenan Dr Rainy Lake Medical Center Clinic International Falls, MN - 566492181 |
Business Phone Number: | 2182834481 |
Business Fax Number: | |
Mailing Address: | 2501 Keenan Dr, Rainy Lake Medical Center Clinic INTERNATIONAL FALLS |
State: | MN |
Postal Code: | 566492181 |
Phone Number: | 2182834481 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2013 |
NPI Last Update Date: | 12/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R217480-8 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |