Ronda Davis-Minnick

Individual provider Active NPI Community Health Registered Nurse · Morris, MN

NPI 1043724834 · NPPES record last updated Dec 1, 2017

Key facts

NPI
1043724834
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
R201625-4 (MN)
Practice address
10 E Highway 28
Morris, MN 56267-1176
Phone
(320) 763-6018
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R201625-4MNMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Public Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R201625-4 MN Yes

Addresses

Primary practice location

10 E Highway 28
Morris, MN 56267-1176

Mailing address

809 Elm St Ste 1200
Alexandria, MN 56308-2675
Phone (320) 763-6018

Other providers in Morris, MN

All providers in Morris, MN · Community Health Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.