Individual
DEANA M THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 578-5204
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 578-5204
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20071446
MN
Other
Enumeration date
01/15/2008
Last updated
08/13/2013
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