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Nursing Service Providers Registered Nurse Neuroscience

Provider NPI: 1265620389

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 612-863-3732  Fax: --

Business Mailing Address:
3400 W 66TH ST SUITE 150 EDINA, MN 55435-2109 US
Tel: 952-920-7200  Fax: 763-302-4234

NPI Information:
NPI: 1265620389
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N163WN0800XNursing Service Providers
Registered Nurse
N163WX0200XNursing Service Providers
Registered Nurse
Y364S00000XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 364S00000X





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