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Nursing Service Providers Registered Nurse School

Provider NPI: 1255489316

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
2665 WOODLANE DR  WOODBURY, MN 55125-2922 US
Tel: 651-768-4404  Fax: 651-768-4412

Business Mailing Address:
141 LINDEN RD  PRESCOTT, WI 54021-1034 US
Tel: 715-262-5571  Fax: --

NPI Information:
NPI: 1255489316
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WS0200XNursing Service Providers
Registered Nurse
MNR 070770-1

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WS0200X





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