CONNIE JAENICKE, NP
Nurse Practitioner
Active
Individual
NPI: 1508875063
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 142515-0 (MN) |
| Nurse Practitioner | 363L00000X | Yes | CNP1484 (MN) |
Frequently Asked Questions
NPI 1508875063 is the National Provider Identifier for CONNIE JAENICKE, NP, a Nurse Practitioner provider located in Burnsville, MN. This NPI was enumerated on August 5, 2006.
CONNIE JAENICKE, NP practices at 14000 FAIRVIEW DR, Burnsville, MN 55337.
Quick Facts
- NPI
- 1508875063
- Type
- Individual
- Enumerated
- Aug 5, 2006
- Last Updated
- Aug 31, 2023
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