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Individual

CARISSA MARY SCANLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
1487 LAUREL AVE, SAINT PAUL, MN 55104-6737
(651) 645-5503

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary

Other

Enumeration date
05/03/2012
Last updated
05/03/2012
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