Celia Marie Petrowiak

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

2363622 Issued in MN

Practice address

308 Jeri St
Fairmont, MN 56031-3249

Phone

(507) 848-1413

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

No

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1225641509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W BLUE EARTH AVE # 1724",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 JERI ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313249",
            "telephone_number": "507-848-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROWIAK",
        "first_name": "CELIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MN",
            "license": "2363622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Edward Parnell, MD
• Mark Lee Paskey
• Patricia a Mahoney MD PA
• Kent Michael Patrick, MD
• Myrna Joy Peters, MSN, RN, C-FNP
• Cody Petrowiak
• Whitney Philipp
• Shae Leann Pierson, RN, PHN
• April E Poolman, FNP-C
• Prairieview Anesthesia and Pain Management

• Case Management Registered Nurse in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Case Management Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.