FISK RUTH MARY - NPI: 1811280308


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1811280308
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: MARY
Provider Last Name: FISK
Provider Middle Name: RUTH
Provider Name Prefix Text: MS.
Provider Gender Code: F
Provider Credential Text: LPN
Provider Enumeration Date: 05/17/2011
Last Update Date: 05/17/2011

Business Address:

Provider First Line Business Mailing Address: 550 MAIN ST
Provider Business Mailing Address City Name: NEW BRIGHTON
Provider Business Mailing Address State Name: MN
Provider Business Mailing Address Postal Code: 55112
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 6123267600

Mailing Address:

Provider First Line Business Practice Location Address: 550 MAIN ST
Provider Second Line Business Practice Location Address: 230
Provider Business Practice Location Address City Name: NEW BRIGHTON
Provider Business Practice Location Address State Name: MN
Provider Business Practice Location Address Postal Code: 55112
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 6123267600

Primary Taxonomy:

Taxonomy Code: 164W00000X
License Number: L41807
License State: MN
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Nursing Service Providers
Classification: Licensed Practical Nurse
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education
Taxonomy Description: experience
Source: The National Provider Identifier

Related NPI Codes

NPI Code Provider
1588092886 MCMANUS MEGAN
1982061727 ENERSON ERIK
1346603503 VELDHUIZEN SHAWNA
1255795969 CZISCHKE JENNIFER
1851740195 BOOS ANN JODI
1992155469 RECKARD LOUISE JOANNIE
1114379336 WYSS ALEXANDRA
1760935282 HERMERDING KATIE
1003360355 SAUER CLINT
1396102364 CONGDON I ALICE
1083086979 SETALA ERIN
1124490453 LEBARON TARA
1407275183 APPLE TREE DENTAL
1730595604 ROBBINS RUSSELL
1306247531 THEISEN ANN JULIE
1770964868 CARING FAMILY HOME HEALTH CARE
1295116044 KINZER M KATHRYN
1245606086 HOFFPAUIR MELISSA ZGIA
1487021671 ANDERSON KELSEY
1841660115 ELDER RENEE JOAN