Witte, Mary D

Witte, Mary D is an sole proprietor health care provider with primary practice located at 9436 Saint Mathias Rd , Brainerd MN 56401-5165. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Witte, Mary D can be contacted via phone (218) 855-1004.

Contact Information

Primary practice address
9436 Saint Mathias Rd Brainerd MN 56401-5165
Phone: (218) 855-1004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R-103555-3 Minnesota

Profile Details

NPI number 1821475245
LBN Legal business name Witte, Mary D
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2015
Last updated Sep 10th, 2020 - about 6 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 1821475245 NPPES
Minnesota MEDICAID 129-RN

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