Individual
TRICIA CASSATT JORGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
10455 102ND AVE N, MAPLE GROVE, MN 55369-2801
(612) 856-3006
Mailing address
10455 102ND AVE N, MAPLE GROVE, MN 55369-2801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-220910-0
MN
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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