Provider Demographics
NPI:1922854371
Name:RONNING, ALLISYN CARRIE (RN)
Entity type:Individual
Prefix:
First Name:ALLISYN
Middle Name:CARRIE
Last Name:RONNING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4636 BIRDSVIEW LN NW APT 4
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-8729
Mailing Address - Country:US
Mailing Address - Phone:218-766-4439
Mailing Address - Fax:218-751-2944
Practice Address - Street 1:4234 SWISS LN NW
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-8389
Practice Address - Country:US
Practice Address - Phone:218-360-0273
Practice Address - Fax:218-751-2944
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN2518181163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health