Individual provider · Type 1 NPI
Christine Fossum, CNP
Family Nurse Practitioner · Roseville, MN
NPI number
1770113748
Active
Practice location
2277 Highway 36 W Ste 140
Roseville, MN 55113-3895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 6366 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1770113748
Christine Fossum, CNP's National Provider Identifier is 1770113748, issued on Jan 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roseville, MN. The record was last updated on Mar 13, 2021.