Individual provider · Type 1 NPI
Krista Rennecke
Licensed Practical Nurse · Fargo, ND
NPI number
1700753373
Active
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Mailing address
605 33rd Ave W Apt 110
West Fargo, ND 58078-7881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L17674 (ND) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1700753373
Krista Rennecke's National Provider Identifier is 1700753373, issued on Oct 20, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fargo, ND. The record was last updated on Oct 20, 2025.