Search › Minnesota › 363AM0700X
Nicole Fogt, PA-C
NPI 1770909749 · on the registry since 2014
Practice
- Address
- 1200 6th Ave N
Centracare Clinic
Saint Cloud, MN 56303 - Phone
- (320) 656-7020
- Organisation at this address
- Centracare Clinic
Centracare ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 213
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota