Carolyn Erenberger, RN

Individual provider Active NPI Community Health Registered Nurse · Cass Lake, MN

NPI 1740035526 · NPPES record last updated Apr 23, 2024

Key facts

NPI
1740035526
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
2498443 (MN)
Practice address
PO Box 698
Cass Lake, MN 56633-0698
Phone
(218) 339-5820
Fax
(218) 339-5822
NPI assigned
Apr 23, 2024
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)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2498443MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2498443 MN
Community Health Registered Nurse 163WC1500X 2498443 MN Yes

Addresses

Primary practice location

PO Box 698
Cass Lake, MN 56633-0698

Mailing address

PO Box 698
Cass Lake, MN 56633-0698
Phone (218) 339-5820

Other providers in Cass Lake, MN

All providers in Cass Lake, MN · Community Health Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.