NPI 1093066847

Mary Lou Fellows

Practitioner Adult Companion Wabasha, MN

Practice location

Address: 14275 N County Road 24, Wabasha, MN 55981-7536
Phone: (651) 560-2111

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X Licence 1054348 AFC (MN)

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Registry record

NPI: 1093066847
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2012
Record last updated: 19 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.