Individual
MS. BONNIE BRYDE MALMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNNP
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5580
Mailing address
1801 2ND ST N, STILLWATER, MN 55082-4255
(612) 600-6665
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
192891-6
MN
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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