Individual provider · NPI-1

Laura Jean Bromenshenkel

Nurse Practitioner, Family · Bemidji, MN

NPI number1144093204
StatusActive
Last updated in NPPESJan 16, 2024

Details

NPI
1144093204
Entity type
Individual (NPI-1)
Name
Laura Jean Bromenshenkel
Sex
Female
Sole proprietor
No
Enumeration date
Oct 31, 2023
Certification date
Jan 16, 2024
Last updated
Jan 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family10928MNYes

Practice location

1233 34th St Nw
Bemidji, MN 56601-5112

Phone 218-333-5522

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 605-328-9419

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