Nan Vobr, CFNP
Individual provider Active NPI Family Nurse Practitioner · Fosston, MN
NPI 1922028117 · NPPES record last updated Dec 5, 2012
Key facts
- NPI
- 1922028117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R1243594 (MN)
- Practice address
- 900 Hilligoss Blvd SE
Fosston, MN 56542-1542 - Phone
- (218) 435-1133
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1243594 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Pines Community | Past | Accepting new patients | |
| First Care Medical Services | Past | Accepting new patients | |
| First Care Medical Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R1243594 | MN | Yes |
Addresses
Primary practice location
900 Hilligoss Blvd SE
Fosston, MN 56542-1542
Mailing address
900 Hilligoss Blvd SE
Fosston, MN 56542-1542
Phone (218) 435-1133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 849088100 | Medicaid | MN |
Other providers in Fosston, MN
- Darren D Swanson
- Sheila K Teiken
- The MRMS Research Foundation
- Valley Markets, Incorporated
- Mallory Alice Vig
- Jacob Arthur Vossler
- Cheryl White
- Kristi Lea Widseth
- Gabriel L Wiener
- Sarah M Wills I
All providers in Fosston, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2012. 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.