Doctor Name: | MRS. BERTHA M KLASSEN |
NPI Number: | 1801893227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R043454-0 |
Business Practice Address: | 308 10th St Windom, MN - 561011451 |
Business Phone Number: | 5078312223 |
Business Fax Number: | 5078310135 |
Mailing Address: | 308 10th St, WINDOM |
State: | MN |
Postal Code: | 561011451 |
Phone Number: | 5078312223 |
Fax Number: | 5078310135 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 10/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R043454-0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |