Provider Demographics
NPI:1326572520
Name:ADVOCATES FOR REPRODUCTIVE EDUCATION
Entity Type:Organization
Organization Name:ADVOCATES FOR REPRODUCTIVE EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:TWAMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:218-330-1863
Mailing Address - Street 1:PO BOX 1086
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-1086
Mailing Address - Country:US
Mailing Address - Phone:218-330-1863
Mailing Address - Fax:
Practice Address - Street 1:424 JAMES ST
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-2989
Practice Address - Country:US
Practice Address - Phone:218-330-1863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical