Denise M Abrahamson, LPN

Individual provider Active NPI Licensed Practical Nurse · Mankato, MN

NPI 1881903524 · NPPES record last updated Sep 29, 2010

Key facts

NPI
1881903524
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
L033268-4 (MN)
Practice address
304 Belle Ave
Mankato, MN 56001-5250
Phone
(507) 344-8698
Fax
(507) 344-8759
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

State licenses

LicenseStateTypeSpecialty
L033268-4MNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Southeast Minnesota Region Past Accepting new patients
Southeastern Minnesota Oral & Maxillofacial Surgery Associates Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L033268-4 MN Yes

Addresses

Primary practice location

304 Belle Ave
Mankato, MN 56001-5250

Mailing address

605 Hillcrest Ave
Suite 130
Owatonna, MN 55060-3680
Phone (507) 451-0290

Other providers in Mankato, MN

All providers in Mankato, MN · Licensed Practical Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.