Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MANDY RAE BLUME, MS RN CGNP
ActiveMRS. MANDY RAE BLUME, MS RN CGNP is a Gerontological Nurse Practitioner healthcare provider located in FARIBAULT, Minnesota. NPI 1134378433 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · FARIBAULT, MN
Registration Details
- NPI Number
- 1134378433
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2008 (17.896158186289 yrs)
- Last Updated
- Dec 2, 2010
- License
-
R156724-1 (MN)
Practice Information
- Address
-
4810 197TH ST EFARIBAULT, MN, 550218078Browse MN providers · Browse ZIP 55021
- Phone
- 5073332748
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.