Ingrid Clerge, RN

Individual provider Active NPI Registered Nurse · Buffalo, MN

NPI 1740795665 · NPPES record last updated Dec 14, 2017

Key facts

NPI
1740795665
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
245224-5 (MN)
Practice address
25 1St Ave NE Ste 100
Buffalo, MN 55313-1598
Phone
(763) 682-3005
NPI assigned
Dec 14, 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
245224-5MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adara Home Health, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 245224-5 MN Yes

Addresses

Primary practice location

25 1St Ave NE Ste 100
Buffalo, MN 55313-1598

Mailing address

25 1St Ave NE Ste 100
Buffalo, MN 55313-1598

Other providers in Buffalo, MN

All providers in Buffalo, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.