Individual provider · Type 1 NPI

Justine Fosle, FNP-C

Nurse Practitioner · St. Louis Park, MN

NPI number 1104661818 Active

Practice location

2820 Inglewood Ave S
St. Louis Park, MN 55416-4112

Mailing address

5115 Excelsior Blvd Ste 712
Minneapolis, MN 55416-2906

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11803 (MN)
Registered Nurse 163W00000X2358271 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104661818

Justine Fosle, FNP-C's National Provider Identifier is 1104661818, issued on Jun 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 23, 2024.