Individual provider · Type 1 NPI

Mary Sue Labernik, NP

Gerontology Nurse Practitioner · St. Cloud, MN

NPI number 1275544348 Active

Practice location

4801 Veterans Dr
St. Cloud, MN 56303-2015

Mailing address

10 Clover Ct
St. Cloud, MN 56301-4954

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR044173-7 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1275544348

Mary Sue Labernik, NP's National Provider Identifier is 1275544348, issued on Aug 11, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 8, 2007.