Michele Astrup
Individual provider Active NPI Lodging Provider · Underwood, MN
NPI 1487966115 · NPPES record last updated Jul 10, 2010
Key facts
- NPI
- 1487966115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lodging Provider 177F00000X
- License
- 10574201AFC (MN)
- Practice address
- 21251 Co 35
Underwood, MN 56586 - Phone
- (218) 826-6738
- Fax
- (218) 826-6738
- NPI assigned
- Jul 10, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10574201AFC | MN | MD | Lodging Provider |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | 10574201AFC | MN | Yes |
Addresses
Primary practice location
21251 Co 35
Underwood, MN 56586
Mailing address
PO Box 126
Underwood, MN 56586-0126
Phone (218) 826-6738
Other providers in Underwood, MN
All providers in Underwood, MN · Lodging Provider in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.