Darlene Evelyn Carlson, R.N.

Individual provider Active NPI Registered Nurse · Hermantown, MN

NPI 1376729178 · NPPES record last updated Jan 11, 2008

Key facts

NPI
1376729178
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R-075305-6 (MN)
Practice address
5577 Miller Trunk Hwy
Hermantown, MN 55811-1233
Phone
(218) 729-5304
Fax
(218) 729-8164
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R-075305-6MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-075305-6 MN Yes

Addresses

Primary practice location

5577 Miller Trunk Hwy
Hermantown, MN 55811-1233

Mailing address

5577 Miller Trunk Hwy
Hermantown, MN 55811-1233
Phone (218) 729-5304

Other providers in Hermantown, MN

All providers in Hermantown, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.