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Nursing Service Providers Registered Nurse Gerontology

Provider NPI: 1518293216

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
13100 WAYZATA BLVD STE 400  MINNETONKA, MN 55305-1821 US
Tel: 952-546-0616  Fax: 952-593-1778

Business Mailing Address:
13100 WAYZATA BLVD STE 400  MINNETONKA, MN 55305-1821 US
Tel: 952-546-0616  Fax: 952-593-1778

NPI Information:
NPI: 1518293216
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WG0600XNursing Service Providers
Registered Nurse

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WG0600X





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