Mary Ruth Fisk, LPN Valid NPI

Individual provider · Licensed Practical Nurse · New Brighton, MN

NPI

1811280308

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L41807 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-05-17

Last updated

2011-05-17