Individual provider · Type 1 NPI
Mary Beth Neisen, FNP-BC
Family Nurse Practitioner · Monticello, MN
NPI number
1861703548
Active
Practice location
9766 Fallon Ave NE Ste 102
Monticello, MN 55362-4589
Fax (763) 272-1503
Mailing address
9766 Fallon Avenue Suite 102
Monticello, MN 55362-4589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R89486-3 (MN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1861703548
Mary Beth Neisen, FNP-BC's National Provider Identifier is 1861703548, issued on Jun 28, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monticello, MN. The record was last updated on Apr 7, 2016.