Skurdahl, Marilyn M

Skurdahl, Marilyn M is an individual health care provider with primary practice located at 1900 Centracare Cir , Saint Cloud MN 56303-5000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Skurdahl, Marilyn M can be contacted via phone (320) 654-3630.

Contact Information

Primary practice address
1900 Centracare Cir Saint Cloud MN 56303-5000
Phone: (320) 654-3630
Fax: (320) 654-3657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R0957881 Minnesota

Profile Details

NPI number 1194716811
LBN Legal business name Skurdahl, Marilyn M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Dec 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194716811 NPPES
Other 0104090 MEDICA HEALTH PLANS
Other 972587300 MEDICA HEALTH PLANS
Other 1020209 MEDICA HEALTH PLANS
Other 73D95SK MEDICA HEALTH PLANS
Other 123625 MEDICA HEALTH PLANS
Other HP27108 MEDICA HEALTH PLANS
Other 2130074 MEDICA HEALTH PLANS

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