Individual
ALICIA MERCEDES REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125-2522
(651) 968-5201
(651) 968-5899
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5200
(651) 730-3556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8000
MN
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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