Search › Minnesota › 163WG0000X
Mary Fairbanks, MS, RN, PHN
NPI 1528197126 · on the registry since 2007
Practice
- Address
- 522 Minnesota Ave Nw
Bemidji, MN 56601 - Phone
- (218) 444-0488
- Fax
- (218) 444-0498
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Also registered as
- 163WC1500X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
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