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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FIDELIS MUSAU KIUNGUA, NURSE PRACTITIONER

Active Sole Proprietor

FIDELIS MUSAU KIUNGUA, NURSE PRACTITIONER is a Adult Health Nurse Practitioner healthcare provider located in FAIRMONT, Minnesota. NPI 1285037101 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · FAIRMONT, MN

Registration Details

NPI Number
1285037101
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2014 (11.813005625847 yrs)
Last Updated
Jun 14, 2019
Licenses
2462942 (MN)
53-76486-051 (KS)
53-76486-051 (KS)
5731 (MN)
Sole Proprietor
Yes

Practice Information

Address
800 MEDICAL CENTER DR
FAIRMONT, MN, 560314575
Browse MN providers · Browse ZIP 56031
Phone
5072388100
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
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.