MARK ROY HARSTAD (NPI# 1023542255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023542255 |
| Entity Type | Individual |
| Full Name | MARK ROY HARSTAD |
| Credential | RN |
| Practice Address |
206 Spruce Ave Ne Buffalo MN 55313-2517 |
| Practice Telephone | 7633336075 |
| Mailing Telephone | 7633336075 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R201897-7 | MN | Nursing Service Providers |
| Street Address |
206 SPRUCE AVE NE |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164832598 | Camille L Johnson | Registered Nurse | 19 Sussex Ct, Buffalo, NY 14204-1728 | 2014-05-07 |
| 1972749802 | Denise Bruscino | Registered Nurse | 29 Rutland St, Buffalo, NY 14220-1625 | 2008-12-23 |
| 1033616909 | Kyle Matthew Waisanen | Registered Nurse | 100 High St, Buffalo, NY 14203-1126 | 2018-04-09 |
| 1316495492 | Gina Nicole Viser | Registered Nurse | 201 S Ash St, Buffalo, MO 65622-8674 | 2016-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578186797 | Margaret Ludwig | Registered Nurse | 3940 4th Ave S, Minneapolis, MN 55409-1615 | 2020-05-21 |
| 1780215061 | Rachel Muzzy | Registered Nurse | 803 County Road B W, Roseville, MN 55113-4531 | 2020-01-27 |
| 1821628397 | Angela Bernice Burt | Registered Nurse | 3555 116th Ln Nw, Coon Rapids, MN 55433-2621 | 2020-01-23 |
| 1609406354 | Jenessa Lynn Zarbano | Registered Nurse | 3710 E 34th St Apt 1, Minneapolis, MN 55406-2762 | 2020-01-22 |
| 1689148918 | Anna Zimmerman | Registered Nurse | 1238 Maywood St, Saint Paul, MN 55117-4132 | 2019-01-21 |
| 1114400397 | Cherise Decorah | Registered Nurse | 2200 California St Ne, Minneapolis, MN 55418-3306 | 2018-09-13 |
| 1114416153 | Nathaniel Manthey | Registered Nurse | 3105 Bluegrass Rd, Chaska, MN 55318-3229 | 2018-05-04 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1770029720 | Tara Simpson | Registered Nurse | 640 Jackson Street Mail Stop 13901c, St. Paul, MN 55101-2502 | 2017-01-15 |
| 1437498508 | Grace Adiyiah | Registered Nurse | 17430 49th Ave N, Plymouth, MN 55446-1713 | 2013-02-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.