Individual provider · Type 1 NPI
Mark Oliver Kragenbring, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Atwater, MN
NPI number
1225348352
Active
Practice location
5501 Shady Oaks Rd
Atwater, MN 56209-9365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R1279678 (MN) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | R1279678 (MN) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1225348352
Mark Oliver Kragenbring, RN's National Provider Identifier is 1225348352, issued on Oct 7, 2010. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Atwater, MN. The record was last updated on Oct 7, 2010.