Individual
DOROTHY A HYDE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
451 DUNLAP ST N, MAIL STOP 32700A, SAINT PAUL, MN 55104-4621
(651) 999-4700
(651) 999-4781
Mailing address
8100 34TH AVE S, MAIL STOP 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5463
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0612540
MN
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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