Most Relevant Information
Provider Data
| NPI Number: | 1003449950 |
| Provider Name: | NANCY RAE WADSTEN APRN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 7113 |
Most Important Dates
| Enumeration Date: | 02/19/2020 |
| Last Updated: | 02/19/2020 |
Provider Practice Location
722 NW 7TH ST
BRAINERD
MN
564012912
Practice Location Phone/Fax
| Phone: | 2188211096 |
| Fax: |
Provider Mailing Location
1149 DEER RIDGE RD SW
PILLAGER
MN
564732444
Provider Mailing Phone/Fax
| Phone: | 2188211096 |
| Fax: |