Provider Demographics
NPI:1609825454
Name:PLAINE, CARA (RN CNS)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:PLAINE
Suffix:
Gender:F
Credentials:RN CNS
Other - Prefix:
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Mailing Address - Street 1:1406 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303
Mailing Address - Country:US
Mailing Address - Phone:320-251-2700
Mailing Address - Fax:320-656-7026
Practice Address - Street 1:1900 CENTRACARE CIR
Practice Address - Street 2:STE 1000
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-5000
Practice Address - Country:US
Practice Address - Phone:320-229-4945
Practice Address - Fax:320-229-5141
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR1127270364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health