Provider Demographics
NPI:1992459200
Name:DAHL, JANELLE (CNM)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:DAHL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:
Other - Last Name:FEINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5131 OTSEGO ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804-1653
Mailing Address - Country:US
Mailing Address - Phone:701-269-9939
Mailing Address - Fax:
Practice Address - Street 1:2000 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-1498
Practice Address - Country:US
Practice Address - Phone:507-646-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife