Individual
ELIZABETH J SIQVELAND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
347 SMITH AVE N, CHILDRENS SPECIALTY CLINIC-GENETICS-STPL, SAINT PAUL, MN 55102-2387
(651) 220-6884
(651) 220-6248
Mailing address
2910 CENTRE POINTE DR, 35-121A, CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113-1182
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1386079
MN
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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