Individual provider · Type 1 NPI
Roxanne Desjarlait
Family Nurse Practitioner · Redlake, MN
NPI number
1366992000
Active
Practice location
General Delivery
Redlake, MN 56671-9999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CNP 4813 (MN) |
Family Nurse Practitioner: Definition to come...
About NPI 1366992000
Roxanne Desjarlait's National Provider Identifier is 1366992000, issued on Oct 6, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redlake, MN. The record was last updated on Oct 6, 2016.