Annette Lynn Fedler, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L045383-5 Issued in MN

Practice address

2232 W 24TH St
Duluth, MN 55811-3110

Phone

(218) 390-8210

Fax

(218) 726-1332

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1033442405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 W 24TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113110",
            "telephone_number": "218-390-8210",
            "fax_number": "218-726-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 W 24TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113110",
            "telephone_number": "218-390-8210",
            "fax_number": "218-726-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDLER",
        "first_name": "ANNETTE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L045383-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Duluth, MN
• Providers in Duluth, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.