Individual
MRS. MARY SUSAN CLIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-3100
(612) 365-3110
Mailing address
3333 HARRIET AVE, MINNEAPOLIS, MN 55408-3729
(773) 512-4511
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
2036438
MN
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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