Dr. Mary D Mackenburg Mohn
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Pediatrics Nurse Practitioner - Primary Care and 1 more
500 Main Ave
Baudette
, Minnesota 56623
Dr. Mary D Mackenburg Mohn
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Pediatrics Nurse Practitioner - Primary Care and 1 more
500 Main Ave
Baudette
, Minnesota 56623
(651) 855-2310
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Pediatrics
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Dr. Mary D Mackenburg Mohn
- 2910 Centre Pointe Drive 35121a Childrens Health Care
- Roseville, MN
- Zip : 55113
- Fax : (651) 855-2310
- Phone : (651) 855-2327
Second Address
- Dr. Mary D Mackenburg Mohn
- 500 Main Ave
- Baudette, MN
- Zip : 56623
- Phone : (218) 634-3400
Reviews
FAQs
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In what state does Dr. Mary D Mackenburg Mohn practice in?
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Is Dr. Mary D Mackenburg Mohn a sole practitioner?
Is Dr. Mary D Mackenburg Mohn accepting new patients?
What languages does Dr. Mary D Mackenburg Mohn speak?
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Does Dr. Mary D Mackenburg Mohn have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0991736 | CO |
| N | 363L00000X | Nurse Practitioner | R0933245 | MN |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 0991736 | CO |
| N | 363LP0200X | Nurse Practitioner - Pediatrics | R0933245 | MN |
| N | 363LP2300X | Nurse Practitioner - Primary Care | R0933245 | MN |
National Provider Identifier
| NPI | 1073690012 |
|---|---|
| Provider Name | Dr. Mary D Mackenburg Mohn |
| First Address | Roseville, MN 55113 |
| Second Address | Baudette, MN 56623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 07/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 878708200 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.