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Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist

Provider NPI: 1215902416

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
200 1ST ST SW  ROCHESTER, MN 55905-0001 US
Tel: 507-284-2511  Fax: --

Business Mailing Address:
200 1ST ST SW  ROCHESTER, MN 55905-0001 US
Tel: 507-284-2511  Fax: --

NPI Information:
NPI: 1215902416
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y364S00000XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
N364S00000XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 364S00000X





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