IndividualActive
Anita Sundholm, C-FNP
NPI 1295174563 · Nurse Practitioner · Bemidji, MN
Provider details
- NPI number
- 1295174563
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- C-FNP
- Sex
- Female
- Sole proprietor
- No
- License
- R 140335-0 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1300 Anne St Nw
Bemidji, MN 56601-5103
Phone: (800) 833-8979
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Anne St Nw
Bemidji, MN 56601-5103
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.