JOHN EDWIN SLETTEDAHL RN, CNP
NPI 1154380939
Nurse Practitioner - Family in Duluth, MN

Active since March 21, 2006
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Edwin Slettedahl Rn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN EDWIN SLETTEDAHL RN, CNP (NPI 1154380939) is an individual family provider in Duluth, Minnesota, licensed in Minnesota (R1336786) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1154380939
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN EDWIN SLETTEDAHLCredential: RN, CNP
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateMay 12, 2011
NPI 1154380939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · R1336786
400 E 3RD ST, Duluth, MN 55805

Other Identifiers 4

Medicaid36090500WI
Medicare PIN500006296MN
Medicare UPINR11768
Medicaid1154380939MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Slettedahl's NPI number?

The NPI number for John Slettedahl is 1154380939. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is John Slettedahl located?

John Slettedahl practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is John Slettedahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for John Slettedahl was last updated on May 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.