Individual
REBECCA ANN AHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
21897 S DIAMOND LAKE RD STE 400-403, ROGERS, MN 55374-4642
(763) 317-1122
(855) 282-6764
Mailing address
21897 S DIAMOND LAKE RD STE 400-403, ROGERS, MN 55374-4642
(763) 317-1122
(855) 282-6764
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
167377-9
MN
Other
Enumeration date
09/21/2007
Last updated
08/31/2021
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