Mr. Richard John Mastenbrook, CNP
Mr. Richard John Mastenbrook, CNP is a Nurse Practitioner in Chisago City, Minnesota. Qualified in 2014, 12 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 12
- Licensed in
- MN
- In the registry since
- 2014
What do these letters mean?
- CNP — Certified Nurse Practitioner
- A certified nurse practitioner.
Practice location Address checks out
11725 Stinson AveChisago City, MN 55013-9542
Phone: (651) 257-8850
Fax: (651) 257-8852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence AG0714121 (MN) |
|---|
Record details
| NPI number | 1619386083 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CNP |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2014 |
| Last updated in NPPES | August 11, 2022 |
| Certification date | August 11, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Fairview Clinics — 806 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |