Carly Behnke

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Saint Peter, MN

NPI 1043669682 · NPPES record last updated Aug 14, 2018

Key facts

NPI
1043669682
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
CNP4544 (MN)
Practice address
100 Freeman Dr
Saint Peter, MN 56082
Phone
(507) 985-2832
NPI assigned
Jun 4, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CNP4544MNMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP4544 MN Yes

Addresses

Primary practice location

100 Freeman Dr
Saint Peter, MN 56082

Mailing address

100 Freeman Dr
Saint Peter, MN 56082-3504
Phone (507) 985-2832

Other providers in Saint Peter, MN

All providers in Saint Peter, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.