Individual provider · Type 1 NPI
Laurie A. Fong, APRN, CNP
Psychiatric/Mental Health Nurse Practitioner · Detroit Lakes, MN
NPI number
1568419612
Active
Practice location
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Fax (218) 847-0881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R-073941-0 (MN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R-073941-0 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1568419612
Laurie A. Fong, APRN, CNP's National Provider Identifier is 1568419612, issued on May 27, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Detroit Lakes, MN. The record was last updated on Dec 23, 2015.