Mary Sue Labernik, NP Valid NPI

Individual provider · Gerontology Nurse Practitioner · Saint Cloud, MN

NPI

1275544348

Type

Individual (Type 1)

Primary specialty

Gerontology Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LG0600X

License number

R044173-7 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-11

Last updated

2007-07-08