Individual
JUSTINE FOSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2820 INGLEWOOD AVE S, ST LOUIS PARK, MN 55416-4112
(914) 589-5503
Mailing address
5115 EXCELSIOR BLVD STE 712, MINNEAPOLIS, MN 55416-2906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2358271
MN
363L00000X
Nurse Practitioner
Primary
11803
MN
Other
Enumeration date
06/26/2024
Last updated
07/23/2024
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