Individual
ERICA BARBOSA DE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
220 MAGNOLIA LN N, PLYMOUTH, MN 55441-5712
(763) 744-7256
Mailing address
220 MAGNOLIA LN N, PLYMOUTH, MN 55441-5712
(763) 744-7256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8111
MN
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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