Individual provider · Type 1 NPI

Richard John Mastenbrook, CNP

Nurse Practitioner · Chisago City, MN

NPI number 1619386083 Active

Practice location

11725 Stinson Ave
Chisago City, MN 55013-9542

Call (651) 257-8850 Map

Fax (651) 257-8852

Mailing address

1700 University Ave W
St. Paul, MN 55104-3727

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	AG0714121 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

16 other providers at this address

About NPI 1619386083

Richard John Mastenbrook, CNP's National Provider Identifier is 1619386083, issued on Aug 10, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chisago City, MN. The record was last updated on Aug 11, 2022.