Individual provider · Type 1 NPI

Stacy Ann Cederstrom, FNP

Family Nurse Practitioner · Cass Lake, MN

NPI number 1174079917 Active

Practice location

425 7th Street North East
Cass Lake, MN 56633

Fax (218) 335-3300

Other practice locations

  • 1120 E 34th St, Hibbing, MN 55746-2909 · (218) 362-7100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4566 (MN)
Family Nurse Practitioner Primary 363LF0000XCNP4566 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1174079917

Stacy Ann Cederstrom, FNP's National Provider Identifier is 1174079917, issued on Aug 31, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cass Lake, MN. The record was last updated on May 22, 2023.